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Gynecomastia is defined as a feminine-like appearance of the male breasts, meaning, more specifically, enlargement of the male breast. Gynecomastia can be related to hormones. While common in one’s teenage years, gynecomastia frequently resolves on its own as one grows into adulthood.

Most cases of gynecomastia in adult men, however, are not related to hormones. It is usually a result of an individual having more breast tissue or more fat in the chest. Gynecomastia is not a disease – some men just naturally have larger breasts than other men.

That being said, the condition can cause much frustration and embarrassment, especially in social situations when one is expected to go shirtless, such as at the beach, locker room or gym. Surgery, CoolSculpting and/or liposuction to contour and streamline the chest tend to greatly improve self-confidence and restore pride in one’s appearance.

A good candidate for the procedure…

  • Suffers from enlarged breasts that cause discomfort
  • Experiences self-consciousness as a result of their anatomy
  • Is in good physical and mental health with no major medical issues
  • Is at a healthy weight for their frame
  • Has found dieting and exercise do not remove the problem
  • Has reasonable expectations for their results based on consultation


A common treatment approach to gynecomastia is liposuction. Liposuction can effectively remove the fatty component of the tissue. While liposuction doesn’t remove breast tissue, it can significantly contribute to the reduction in breast size.

If liposuction is determined to be the most effective treatment approach for the patient, he will undergo approximately one hour of liposuction under either IV sedation or local anesthesia (though IV sedation is the most likely course of action).

Postoperatively, the patient will be instructed to wear a compression garment and can resume normal activity, including exercise within a few days. Bruising is resolved after 2-4 weeks, and, like other liposuction procedures, swelling resolves completely after approximately three months.

Gynecomastia Treatment NYC | Gynecomastia New York City


Another approach to gynecomastia treatment is reduction by CoolSculpting, a noninvasive procedure that has been proven to elicit great results in treating gynecomastia. On average, patients tend to see a 10-15% reduction in breast size after one round of treatment. (Please note: individual results may vary.)


Before & After


Other gynecomastia treatment options

Though Dr. Rapaport strives to treat gynecomastia with the least invasive treatment possible, sometimes more invasive options are indicated. When a significant portion of breast tissue is present, an open procedure may be performed. This involves an incision at the lower border of the areolus. When there is significant skin excess, another incision in the fold under the breast may be necessary.


Recovery time and instructions will vary depending on the procedure you undergo to reduce chest size. In the case of surgical excision, drains may be placed to help remove excess fluids, and a compression garment may be prescribed to promote faster healing. Swelling, minor bruising and pain may accompany the surgical approach. With liposuction and CoolSculpting, recovery will be more rapid, although some swelling and bruising is still to be expected, particularly with liposuction.

Expectations and results

Improvements in the chest’s contours can be seen right away, but will continue to evolve for up to six months as swelling abates. Gynecomastia repair is a permanent procedure that is highly effective and has an excellent track record in terms of patient satisfaction. Adhering to a healthy regimen in terms of diet and exercise is an important part of maintaining your impressive results. Smoking, drug and alcohol abuse and overeating can only reverse what you have worked to achieve with treatment.

How can I move forward with gynecomastia treatment?

If you would like to learn more about whether this innovative procedure is right for your goals, do not hesitate to contact Dr. Rapaport’s office today to set up your private consultation in Manhattan. The consultation is a great time to ask questions and get educated about the causes of gynecomastia and what can be done to shape, tone and trim the entire chest area.

Sometimes the doctor will also recommend additional body sculpting treatments to complement your gynecomastia procedure, such as liposuction for the hips, stomach, buttocks or thighs. Combing treatments can save you money and reduce your downtime from what it would be if you chose to undergo the procedures one by one.

During the consultation the doctor will go over your medical history, take photographs, and prepare a customized plan of attack to tackle your most challenging aesthetic concerns.

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