Joseph T. Cruise, M.D.
EXCELLENCE IN PLASTIC SURGERY

NEWPORT BEACH | ORANGE COUNTY

CONTACT US  
(949) 446-1421  
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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
More than 10 years specializing in gynecomastia
Dr. Cruise is one of only a handful of plastic surgeons in the United States who specializes in male breast reduction surgery. Having more than 10 years of experience, Dr. Cruise has  become a leader in the treatment of gynecomastia. He uses advanced surgical techniques not found elsewhere.
More than 250 surgeries each year
As one of the most sought out gynecomastia surgeons in the word, Dr. Cruise is performing over 250 male breast reduction surgeries each year. The vast amount experience he has treating gynecomastia, has contributed to his ability to provide consistent predictable results. He has also mastered the patient experience when surgery is performed in-office under local anesthesia, which most are.
Comprehensive understanding of the condition
Men suffering with gynecomastia are unique in comparison to those pursing other types of cosmetic procedures. For many, gynecomastia is a humiliating condition, which negatively impacts all areas of their lives. Dr. Cruise understands not only the physical aspect of the condition, but he deeply understands the emotional aspect as well.  He knows just how much gynecomastia surgery can improve his patient's lives, and, for this reason, he has dedicated a large portion of his practice to male breast reduction surgery. Dr. Cruise has also surrounded himself with some of the best support staff in the industry who are not only knowledgable, but compassionate and skilled in their respective positions.
Developed a classification system for diagnosing gynecomastia
Dr. Cruise created the Cruise Classification System as a way of specifically diagraming each type of gynecomastia, along with the recommended treatment plan for each. This classification system is the first of its kind.
Safety and comfort the number one priority
Dr. Cruise and his team pride themselves on providing the highest level of patient safety and care throughout their surgical journey. Surgery performed under general anesthesia  is done so in a fully accredited outpatient surgical center with board certified anesthesiologists who are experienced with gynecomastia surgery. A large majority of the male breast reduction surgeries Dr. Cruise performs are done so in-office under local anesthesia. Dr. Cruise has perfected his local anesthesia surgeries ensuring his patients are comfortable and have the best experience possible.
Comprehensive Before & After Gallery
Our photo gallery displays a large variety of male breast reduction  before/after pictures representing every type of gynecomastia.
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Cruise Classification System

Dr. Cruise developed the Cruise Classification System as a way of diagraming each type of gynecomastia, along with his recommended treatment plan for each. Look at the diagram below to find the type which represents you. Click on the type for information about the treatment, healing process, cost 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

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.

Puffy Nipple is one of the most common types of gynecomastia. The "puffy" appearance is caused by an excess amount of breast tissue underneath the nipple and areola that pushes the nipple outward and makes it overly visible, especially in thin shirts. There is typically very little fat (shown in yellow) contributing to the problem, unlike with classic and fatty gyne.

Classic gynecomastia is the most common type of gynecomastia. This is when the enlarged breast is caused by a combination of excess breast tissue and an excess of fatty tissue. In most cases, the excess breast tissue is located under the nipple and it can be felt by pinching the area underneath the nipple. It will feel firm and a rubbery or squishy.

Fatty gynecomastia (a.k.a. Pseudo-gynecomasita) is characterized as being primarily made up of fatty tissue. In many cases, however, there is usually some mild component of breast tissue as well. Weight loss is usually the first course of action with this type of gyne.

Saggy Gynecomastia is defined by significant excess skin causing the areola and nipple to drop downward and sit on the lower portion of the chest. This type isn't as common because it usually occurs in patients who have experienced significant weight loss. Mild saggy gynecomastia will often times be seen in the aging male due to loss of skin elasticity and hormone changes.

 

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.

 

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

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

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.

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

 

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.