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Restoring Confidence Through Expert Surgical Care

Enlarged breast tissue affects an estimated 70 percent of men at some point in their lives. For many, the condition resolves on its own. For others, it becomes a persistent source of discomfort and self-consciousness that no amount of exercise can correct. Dr. David Parizh, DO, FACS, provides gynecomastia surgery for men across Long Island and Manhattan with the discretion, anatomical precision, and surgical skill that this sensitive procedure demands.

His training in both reconstructive and cosmetic surgery, combined with his fellowship-level expertise in facial and body aesthetics, positions him to deliver chest contours that look natural and proportional.

What Is Gynecomastia?

Gynecomastia is the medical term for overdeveloped male breast tissue. It can result from hormonal imbalances, certain medications, genetics, or weight fluctuations. According to the American Society of Plastic Surgeons, gynecomastia surgery corrects this condition through liposuction, direct excision of glandular tissue, or a combination of both techniques.

The approach depends on the composition of the breast tissue and the degree of correction needed.

  • Liposuction: Used when the enlargement is primarily due to excess fatty tissue. A thin cannula is inserted through small incisions to suction out fat.
  • Excision: Required when glandular tissue or excess skin must be removed. Incisions are typically placed around the areola to minimize visible scarring.
  • Combination approach: Many cases benefit from both liposuction and excision to achieve a smooth, masculine chest contour.
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Benefits of Gynecomastia Surgery

  • Flatter, firmer chest: Creates a more traditionally masculine contour that aligns with the patient's body.
  • Improved confidence: Many patients report significant emotional relief and willingness to wear fitted clothing or go shirtless.
  • Permanent results: When combined with a stable weight and healthy lifestyle, results are long-lasting.
  • Minimal scarring: Incisions are strategically placed to remain as discreet as possible.
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Are You a Candidate for Gynecomastia Surgery?

You may be a good candidate if you:

  • Have enlarged breast tissue that has not responded to diet, exercise, or medical treatment
  • Are physically healthy and at a relatively stable weight
  • Are a non-smoker or willing to quit before and after surgery
  • Have realistic expectations about the outcome
  • Are 18 or older with stabilized breast development (adolescents may qualify in some cases)
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Why Choose Dr. Parizh for Gynecomastia Surgery in Long Island?

Dr. Parizh's approach to gynecomastia surgery reflects the same precision he brings to every procedure. Board-certified by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons, he combines technical expertise with a genuine understanding of the emotional impact this condition carries. 

His membership in both the American Society of Plastic Surgeons and the Aesthetics Society reflects an ongoing commitment to safety, innovation, and patient-centered care.

What to Expect Before, During, and After

Consultation

  • Dr. Parizh examines your chest to assess breast size, shape, nipple position, and skin elasticity
  • You'll discuss your goals, medical history, and any medications that may contribute to the condition
  • Cost and financing options are reviewed during your visit

During the Procedure

  • General anesthesia or intravenous sedation is administered
  • Liposuction is performed through small incisions if fatty tissue is the primary concern
  • Glandular tissue is excised through incisions around the areola when needed
  • The two techniques are often combined for optimal results

Recovery and Results

  • A compression garment is worn for several weeks to support healing and skin retraction
  • Most patients return to work and light activities within one to two weeks
  • Strenuous exercise is restricted for approximately four to six weeks
  • Final chest contour becomes visible as swelling resolves over two to three months
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Related Procedures

Some patients benefit from combining gynecomastia surgery with liposuction of the flanks or abdomen for a more comprehensive body contouring result. Dr. Parizh will recommend additional procedures only when they align with your goals and anatomy.

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Take the First Step Toward a More Confident You. Book a Consultation Today

If gynecomastia is affecting your confidence or quality of life, Dr. David Parizh, DO, FACS, can help. Schedule a consultation at his Garden City, East Hills, or Manhattan office to discuss your options.

Gynecomastia FAQ

What causes gynecomastia, and can it go away on its own?

Will there be visible scars after gynecomastia surgery?

Can gynecomastia come back after surgery?

How soon can I go back to work after male breast reduction?

Will gynecomastia surgery affect my nipple sensation?

Is gynecomastia surgery painful?

Can teenagers have gynecomastia surgery?

Does insurance ever cover gynecomastia surgery?

What causes gynecomastia, and can it go away on its own?

Gynecomastia can result from hormonal changes, certain medications, genetics, or weight gain. While it sometimes resolves naturally during puberty, persistent cases in adults typically require surgical correction.

Will there be visible scars after gynecomastia surgery?

Incisions are placed around the areola or within natural chest creases to keep scarring as discreet as possible. Scars fade considerably over time and are usually well-concealed by chest hair or natural skin folds.

Can gynecomastia come back after surgery?

Recurrence is uncommon when the procedure is performed by a qualified surgeon and the underlying cause is addressed. However, significant weight gain, hormonal changes, or certain medications could potentially contribute to new tissue growth.

How soon can I go back to work after male breast reduction?

Most patients with desk-based jobs return to work within five to seven days. Physically demanding work typically requires three to four weeks of recovery before resuming full duties.

Will gynecomastia surgery affect my nipple sensation?

Temporary changes in nipple sensitivity are common and typically resolve within a few weeks to months. Permanent loss of sensation is rare but is discussed as a potential risk during your consultation.

Is gynecomastia surgery painful?

Most patients describe the discomfort as moderate and manageable with prescribed pain medication during the first few days. Soreness and tightness gradually decrease throughout the first two weeks of recovery.

Can teenagers have gynecomastia surgery?

Adolescents may qualify if their breast development has stabilized and the condition causes significant physical or emotional distress. Dr. Parizh evaluates each case individually, as secondary procedures may be needed if development continues.

Does insurance ever cover gynecomastia surgery?

Coverage varies by plan and is more likely when the condition is documented as medically necessary rather than purely cosmetic. Dr. Parizh's team can help you navigate the documentation process if you wish to explore insurance options.

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