Joseph T. Cruise, M.D.


(949) 446-1421  

Excellence in Gynecomastia Surgery (Male Breast Reduction)

Joseph T. Cruise, M.D. 

Gynecomastia Specialist & Board Certified Plastic Surgeon

Los Angeles Gynecomastia is dedicated to male breast reduction treatment and surgery
Over 10 years in gynecomastia specialty

There are only a handful of plastic surgeons in the U.S. that specialize in Gynecomastia surgery, Dr. Cruise being one of them. With over 10 years experience performing gynecomastia surgery, Dr. Cruise's techniques have advanced beyond the basic techniques surgeons use, making him one of the most sought out gynecomastia surgeons in the world.  

Over 250 gynecomastia surgeries per year

Dr. Cruise performs over 250 male breast reduction procedures each, which has allowed him to develop surgical routines that yield predictably good results. In fact, the procedure has become so advanced and efficient that most of the procedures are done under local anesthesia while the patient is watching movies on Netflix.

Deep understanding of gynecomastia condition

Gynecomastia surgery is considerably different than all other types of plastic surgery. This is why Dr. Cruise created this site. It is exclusively devoted to provide expert gynecomastia diagnosis, treatment options, and surgical information. Optimal treatment of gynecomastia requires that the gynecomastia surgeon and his entire staff have considerable knowledge and experience and are dedicated to all aspects of gynecomastia care. Recognized as a leader in the field of gynecomastia, Dr. Cruise's practice has blossomed into an international destination for men looking for optimal treatment. 

Creator of The Cruise Classification System

The Cruise Classification System is a tool developed by Dr. Cruise to educate men about the different types of gynecomastia and the recommended treatment options for each. This type of classification system is the first of it's kind, and shows the deep understanding Dr. Cruise has about gynecomastia. 

Focus on safety and comfort

Dr. Cruise has perfected gynecomastia surgery to the point where most surgeries can be performed under local anesthesia in a comfortable, relaxing setting while watching Netflix videos. For severe cases of gynecomastia, surgery is performed under general anesthesia in a Medicare accredited outpatient facility.

Extensive before and after photo gallery

LA Gynecomastia has one of the most comprehensive before and after photo galleries on the Internet. The photos represent all types of gynecomastia and treatments. 

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Cruise Classification System

The images below represent the 6 Types of Gynecomastia as categorized by Dr. Cruise. Find the picture which most closely represents your particular situation and expand the Type to read more about it. You can also click on the image to be taken to the dedicated information page for that type to learn about the surgical options, cost, recovery, and more. 

6 Types of Gynecomastia

Gynecomastia Types

Notice the progressive increase in skin laxity. This excess skin will change the type of surgery necessary to properly correct the problem.

Type 1

Breast tissue - under nipple/areola only

Nipple position - above border of pec. muscle

Lateral chest fold - tight, straight

Type 2

Breast tissue - extends over chest fold

Nipple position - above border of pec. muscle

Lateral chest fold - tight, rounded

Type 3

Breast tissue - extends over chest fold

Nipple position - 0 to 2 cm. below border of pec. muscle

Lateral chest fold - mild laxity, horizontal

Type 4

Breast tissue – extends into axilla

Nipple position – >1.5 cm below border of pec. muscle

Lateral chest fold - small breast roll in front of arm pit

Type 5

Breast tissue – extends into axilla

Nipple position – ≥ 2 cm below border of pec. muscle

Lateral chest fold - breast roll extends to the back of arm pit

Type 6

Breast tissue – extends into axilla

Nipple position – ≥ 2cm below border of pec. muscle

Lateral chest fold - breast roll extends around to back

Dr. Cruise's patient, Bravo TV reality star talk about his surgery

Watch Dr. Cruise's patient, Bravo TV reality star Brandon Liberati, talk about his surgery.

Link to surgery episode on Bravo.

What is Gynecomastia?  

Gynecomastia, a.k.a gyne, gyno, or man boobs, is the condition where male breasts become enlarged, either because of excess breast tissue or excess fat. All men have breast tissue. It is the same tissue as women, but typically in lesser amounts. Men afflicted by gynecomastia have breast tissue that grows considerably, typically under the nipple and areola. Breast tissue is harder to the touch than breast fat, and is described as being both firm and squishy, rather than flabby like breast fat. Gynecomastia is not as much about the condition as it is the humiliation and insecurity of having it.

Ideally, male breasts have toned muscles and are well defined, with nipples that point forward and follow a line from the shoulder to the waist which helps create the image of an ideal masculine triangular upper body. When the male breast becomes fatty and begins to sag, it will develop a crease underneath with a fold of tissue over it, nipples that point downward, and excess chest volume – all of which are more similar to the female breast shape than the ideal male chest.

Newport Beach plastic surgeon, Dr. Joseph T. Cruise is a leading expert in gynecomastia  performing over 250 surgeries male breast reduction surgeries each year. Dr. Cruise is dedicated to the specialization of gynecomastia and is considered one of the top 5 gynecomastia surgeons in the United States.

Dr. Cruise and his Orange County staff have developed this comprehensive gynecomastia section as a resource for men looking for information about gynecomastia surgery to correct their condition, giving them the ideal male chest they desire. Additionally,  Dr. Cruise wants to ensure that you have all the information you need in order to make a decision that will achieve your goals and eliminate your concerns.

View our numerous testimonials and before and after gynecomastia pictures.



Dr. Cruise's years of specialization and experience has enabled him to perfect his surgical techniques and provide his patients predictable results they can be happy with. In fact, his gynecomastia surgery has become so advanced and efficient that most of the procedures are done under local anesthesia while the patient is watching movies on Netflix.

“Many men who suffer from gynecomastia do not seek treatment mostly because they do not know a surgeon whom they can trust. If they knew of a place to go dedicated to gynecomastia; a place where they could get predictably good results often under local anesthesia, most would have it taken care of.” Dr. Cruise

The more severe gynecomastia cases are usually performed under general anesthesia in a medicare accredited outpatient surgery center. Still, having exposure to this many cases has allowed for Dr. Cruise to achieve great results even with the most severe cases. This is particularly true with the massive weight loss patient.

Experience alone does not make a great result. Dr. Cruise and the entire staff at Cruise Plastic Surgery are both passionate and knowledgeable about the unique physical and emotional issues associated with gynecomastia. They understand the toll gynecomastia has taken on their lives and the courage it takes to come forward with the problem. Everyone at Cruise Plastic Surgery from the front desk team, to the nurses, patient care coordinator, and Dr. Cruise are there every step of the way throughout your surgical journey.

Components of Gynecomastia

When men realize there is an actual medical term used for male breast enlargement (gynecomastia), the next step is understanding the components of gynecomastia; what is attributing to the condition.

Dr. Cruise categorizes gynecomastia into five components based on what is actually causing the enlarged breast.

    1. Puffy Nipples
    2. Classic Gynecomastia
    3. Fatty Gynecomastia
    4. Saggy Gynecomastia
    5. Breast Roll

Ideal Chest

Ideal Chest

Puffy Nipple

Puffy Nipple

Classic Gynecomastia

Classic Gynecomastia

Saggy Gynecomastia

Saggy Gynecomastia

Fatty Gynecomastia

Fatty Gynecomastia

Breast Roll

Breast Roll

















There are typically three primary causes for each type of gynecomastia.  There may be only one of the causes present or a combination.

Excess breast tissue
Excess fat
Excess skin
Or a combination of the above

The reason for the gynecomastia is often times determined during the consultation with Dr. Cruise, however there are some rare cases where the exact cause can only be determined at the time of surgery.

Causes of Gynecomastia

Often, the exact cause of a person’s gynecomastia cannot be pinpointed.  The causes can range from intake of medications, to genetic predisposition, to hormonal changes. In fact, it is not uncommon for healthy teenage boys, usually around 14 years old, to have this problem for 1 to 2 years while going through puberty.

While certain diseases and medications may be the cause, men with breasts should discuss this possibility, and perhaps undergo a physical exam, with their family doctor before considering cosmetic surgery to correct their concerns.

Some of medications and chemicals known to cause gynecomastia are: estrogens, digitalis, clomiphene, ketoconazole, metronidazole, cisplatin, spironolactone, cimetidine, isoniazid, methyldopa, tricyclic antidepressants, valium, heroin, and marijuana. Read more about steroid use and gynecomastia here.

If you have taken any of these medications, you may want to discuss your condition and your prescription with your physician.

Excess weight can cause detrimental hormonal imbalances, so you may consider a weight-loss treatment course to reduce the size of your chest and improve your health before considering surgery. You may also want to find out about the possibility of liver problems, as they can contribute to male breast enlargement as well.


Additional helpful resources when researching about gynecomastia surgery:

Anesthesia Types - learn about local and general anesthesia.

Cost and Financing - it is helpful to have an idea about the cost of surgery, as well as financing options available should you need assistance.

Healing Process - educating yourself about the healing process following gynecomastia surgery will help you plan and prepare, which will reduce the stress of having surgery.

Out of Town Patients -  if you are traveling from out of the area, please read through our out of town section to learn everything you need to know about having surgery with Dr. Cruise.

Before and After Photos - Dr. Cruise has the most comprehensive gynecomastia before and after photo gallery on the Internet.

No man needs to suffer with gynecomastia and enlarged male breasts. Dr. Cruise and the experienced staff in his Newport Beach office can provide you with all the information you need to determine if male breast reduction is the right fit for you. If you decide to pursue surgery, Dr. Cruise and the Cruise Plastic Surgery staff will be with you every step of the way and provide the support you need.

Contact Us  - fill out the form or call: 949-644-4808