Leo J. Urbinelli, MD, Board Certified Plastic Surgeon *Top Plastic Surgeon in CNY* Bringing his expertise from NYC and Los Angeles back home to Upstate NY
A fuller chest can mess with confidence in a way people do not always talk about. Shirts fit wrong. Gym clothes feel awkward. Some men start avoiding tight tops altogether.
At Premier Aesthetics, Gynecomastia surgery in Syracuse, NY, by Dr. Leo J. Urbinelli gives patients a practical way to deal with excess chest tissue and move toward a firmer and more natural-looking chest.
For lots of guys, this issue begins early and stays quiet for a long time. It can come from body changes or weight. No matter why it happens, the feelings are real and usually grow over time.
A solid plan for Gynecomastia surgery in Syracuse, New York starts with a simple question. What is causing the fullness? Not every chest looks the same. Some men have glandular tissue. Some have fat. Some have loose skin after weight changes. Some have a mix of all three.
At Premier Aesthetics, the approach is careful and personal. Dr. Leo J. Urbinelli looks at the chest shape, skin quality, and the amount of tissue involved before making a plan. That matters because the goal is not just to reduce size. It is to create a chest that looks smooth, balanced, and normal in clothes or without them.
Gynecomastia surgery by Dr. Leo J. Urbinelli may help with:
Many men come in after trying to fix it on their own. They train harder. Cut calories. Change shirts. Still, the chest stays the same. That is often when surgery starts to feel less like a big step and more like the obvious one.
The consultation with Dr. Leo J. Urbinelli is where the small points begin to feel clear. You speak about what you notice, what upsets you, and what sort of outcome would truly feel worth the effort. Dr. Urbinelli examines the chest and determines whether the issue is mainly tissue, fat, skin, or a mix.
Gynecomastia surgery may include gland removal, liposuction, or both. In some cases, loose skin also needs attention.
Depending on your needs, treatment by Dr. Urbinelli may focus on:
The technique matters. So does restraint. Too much removal can leave a strange dip. Too little leaves the same concern in place. That line has to be handled with expert care like that of Dr. Urbinelli’s.
Recovery takes time. That is just how it goes. The chest may feel sore or tight at first. Swelling is normal. Compression garments are often part of the process, and they help the body settle into its new shape.
Most patients return to normal routines gradually. Heavy lifting usually has to wait. So does pushing the body too hard, too soon. Healing is not dramatic, just steady. Then one day, the chest starts looking more like the version you wanted in the first place.
Dr. Leo J. Urbinelli’s Gynecomastia surgery is about solving a problem that has already taken up too much space in your life. Some men wait years before bringing it up. That is common. It can feel embarrassing at first. Still, it is far more common than people think.
You may be a good candidate if:
Many men keep this quiet because they think it shouldn’t matter. But it doesn’t matter if it changes how you move through daily life.
Dr. Urbinelli’s Gynecomastia surgery leaves the chest looking flatter, cleaner, and still natural. Not pinched. Not hollow. Just more in line with the rest of the body.
That is the standard Premier Aesthetics works toward. Better shape. Better fit. Less attention is paid to the chest for the wrong reasons.
Premier Aesthetics is offering the following services in Syracuse, New York:
Patients usually want straight talk. Just a clear explanation of what can be done and what kind of result is realistic. Premier Aesthetics gives them that kind of conversation.
Dr. Urbinelli knows that this chest issue is more than just about looks for many guys. It changes how you feel, how you stand, and even how you view yourself. Those feelings matter. They should be treated with kindness and care.
Men often come in tense. Then they realize the conversation is simple and direct. That usually helps.
Dr. Leo J. Urbinelli’s surgical approach often has a bigger effect than people expect. Clothes fit more naturally. The chest looks more balanced in a fitted shirt. Exercise can feel less awkward. Some patients even stop thinking about their chest every time they get dressed. That sounds small until it has been a daily issue for years.
It is also good to mention that a full chest can happen for many reasons. Body changes, growing up, gaining weight, medicine side effects, or getting older. The reason matters because it helps build the right plan. That is why the first talk is more than a routine. It is the part that keeps the results feeling real.
The goal of this surgery is a flatter more masculine and contoured chest. It often removes excess fat or gland behind the nipple/areola to give the patient a flatter contour. Sometimes it requires nipple and areolar repositioning or skin removal if the patient has lost massive amounts of weight and skin is sagging and hanging below the chest/breast crease/fold.
No. Although most men who request this surgery are in late teens and twenties, we see patients in their 30’s-60’s request a more fit physical shape of their chest whether it be for a confidence boost, to accentuate their body building gains or after weight loss. WE are here for those men wanting a positive change in their chest contour regardless of age.
It varies depending on severity. Some men only have a small breast bud to excise via a small semi-circular incision around the areola and this can be done in the office under local anesthesia and their recovery is usually 1-2 weeks before they can return to heavy lifting and the gym. Others require a much more extensive skin and gland removal and skin redraping (especially after weight loss) and they may have 6 weeks of rest and recovery from heavy lifting.
It depends on the approach and severity. Some men with minimal gland presence and primarily fatty deposition over the chest can be addressed with liposuction alone via small remote “poke” access sites in the armpit crease or along the fold of the lower chest or along the boundary of the areola perimeter. Others may require a small semi-circular incision to elevate the nipple and areola and excise directly the firm rubbery gland that cannot be liposuctioned and this leaves a well hidden (but never invisible) and imperceptible scar. The last group may require full incisions across the chest along the inframammary fold to remove the loose hanging redundant skin and reposition the nipple and areola back up on the chest or reduce the areola which can leave well placed and hidden scars on the chest. See your Dr. Urbinelli for more details on which approach he feels would be best for you, your goals and your anatomy.
Yes it can. If the patient gains a lot of weight after surgery, weight can regrow breast or fatty tissue on the chest, mimicking gynecomastia again. If the patient has an endocrine or testosterone disorder not previously investigated or known this can regrow breast tissue. If the patient is using a lot of THC/marijuana or anabolic steroids they may regrow their gynecomastia as well. In general, if the patient maintains a healthy diet and weight after surgery and does not have one the aforementioned conditions above he will have long lasting results for a very very long time.
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John Beau SaulTrustindex verifies that the original source of the review is Google.
Dr. Urbinelli was outstanding in every aspect. He took his time to explain everything so we all knew exactly everything occurring. In addition to his expert knowledge sand work, he's also very personable![]()
Colleen VolmutTrustindex verifies that the original source of the review is Google.
After doing a thorough research for a plastic surgeon, I had a consultation with Dr Leo Urbanelli I immediately felt at ease talking to him about what I was hoping to accomplish. His depth of his knowledge and skill as a surgeon became obvious as he discussed the variations of my options. Dr. Leo would look at a particular area of my face and tell me what he could do and how it would look. He spent a great deal of time with me and answered all my questions and concerns. We both decided what would be the best procedure for me. I am just 8 weeks post surgery and my face, neck and brow lifts came out so much better than I could have possibly imagined. The stages of my recovery were exactly what he said they would be. I knew what to expect and how I would feel as my recovery progressed. He truly takes great pride in his work and cares deeply for his patients. He has always been available day, night and even weekends. He is an incredibly talented surgeon and the most thoughtful person you will ever meet. He is a true artist.![]()
Debi SuarezTrustindex verifies that the original source of the review is Google.
I can’t say enough wonderful things about my experience. I was extremely nervous going into this, and from the very first appointment, he made me feel completely at ease. He took the time to listen, explain everything clearly, and truly understand my concerns. He treated a cyst-like spot for me and repaired an area that kept reopening, something that had been both frustrating and worrisome. The results have been amazing, and I couldn’t be happier. Not only did he fix the issue, but he did so with such care and precision. What really stood out to me was his kindness and attention to detail. At one point, he even noticed and studied some of my old scars, which honestly made me giggle—it’s clear he sees things through a very skilled and thoughtful lens. His passion for what he does really shows. I’m so grateful I trusted him with something I was so scared to do. I would highly recommend him to anyone looking for a talented, compassionate surgeon.![]()
Nikki Ann WaltersTrustindex verifies that the original source of the review is Google.
I met with Dr. Leo in 2025 with anxiety and hesitation, I left with hope. During my visit he was patient, empathetic, and kind. He brought to light an issue of Lipedema that has plagued me for decades. After two procedures, I can say his professional skills and bedside manner are unmatched. I’m looking forward to a life of no limitations and more confidence, while looking better than I have in years. Thank you!![]()
Emily DygertTrustindex verifies that the original source of the review is Google.
Dr. Urbinelli is the best! He performed a breast reduction on me in December 2024 and choosing him as my surgeon was the best decision I have ever made. My results are exactly what I asked for and my self-confidence has increased tremendously. I am now able to live an active lifestyle without being uncomfortable or in pain. I consulted with other surgeons and none of them made me feel as confident and comfortable as Dr. Urbinelli did. He treats his patients like family and it is so evident that he loves what he does. Anytime I had a question or concern, Dr. Urbinelli got me in the office within one or two days to address my concern (and often offered to do virtual appointments so I didn’t have to take too much time out of my day to travel to the office). Upstate NY is so lucky to have a plastic surgeon as knowledgeable, professional, and talented as Dr. Urbinelli. I would recommend him to anyone!![]()
Mary KlockowskiTrustindex verifies that the original source of the review is Google.
Dr. Urbinelli is everything you could hope for in a surgeon—compassionate, encouraging, empathetic, and incredibly responsive. From my very first consultation through surgery and recovery, he was attentive and never made me feel rushed, always taking the time to answer my many questions with patience and care. This experience has truly been life-changing. Not only am I thrilled with the results of my abdominoplasty, but my confidence and overall mental well-being have improved in ways I didn’t expect. I feel more like myself again and genuinely excited about the future. I cannot recommend Dr. Urbinelli highly enough—he is an exceptional surgeon and a truly caring professional.![]()
Monica DezaTrustindex verifies that the original source of the review is Google.
I am so happy with Dr. urbinelli s work! For my 43rd birthday, I treated myself to a midface lift and lower bleph. He was great, honest , gave me realistic expectations, responsive , kind and delivered exactly the results I was hoping for. We discussed several pathways to get the refreshed look I was hoping for, and he discussed it with me with so much patience . These are my before and afters only a short time after the procedure ! Thank you Dr!![]()
Karrie NewkirkTrustindex verifies that the original source of the review is Google.
⭐️⭐️⭐️⭐️⭐️ Dr. Urbinelli is absolutely outstanding. His attention to detail and pursuit of perfection are truly every patient’s dream. You can immediately tell he is not only highly skilled but also deeply passionate about his work. He takes the time to listen and ensures that everything is tailored exactly to what you need. Syracuse Plastic Surgery is the gold standard. Having such a talented, caring, and supportive team all under one roof is truly a blessing for any patient seeking the highest level of care and results. 🩷💎🩷![]()
Patricia MaycumberTrustindex verifies that the original source of the review is Google.
I cannot praise Dr. Urbinelli and the staff of Syracuse Plastic Surgery enough for the care which was given to me during my recent surgery and recovery. Dr. Urbinelli is caring person and an artist at what he does. He was responsive to all my needs especially due to an unforeseen issue during my recovery. Dr. Urbinelli even made a house call to teach my sister how to dress my wound. I traveled far from Las Vegas to Syracuse, NY because he is a reconstructive facial specialist. I am so pleased with my results. I highly recommend Dr. Urbinelli for any reconstructive or plastic surgery you may need.![]()
Sam BredenbeckTrustindex verifies that the original source of the review is Google.
I waited as long as possible to write this review because I was holding out hope that I could leave a rave, 5-star review, but I can't. I had a revision surgery in August of 2023, in an attempt to correct my breathing and fix countless issues the first surgeon left behind. Knowing this surgery wouldn't be a small task, I tried to remain patient and hopeful with Dr. Urbinelli and team that all would go great. It didn't. My breathing is the same, if not worse, than before (which is terrible). It feels like I am suffocating all day, every day. The aesthetic of my nose has gotten worse (fat, asymmetrical, twisted, etc.). The columella scar is still visible. Swelling refuses to go down. I still have a septal perforation, collapsed nasal valves, deviated septum, and enlarged turbinates. He used a cadaver rib, which seems to be curved and feels rock hard, which is extremely annoying. I have a foul odor that has been persistent since surgery. And when I can't smell that, my sense of smell is practically non-existent. The entire process has been miserable and extremely frustrating. I did everything (and more) that I was told. Taping, Vaseline, elevation, icing, no exercise, sprays, cleanses, follow-up appts. every single thing. Yet, I still can't breathe, my nose looks terrible, in my opinion...and I'm out thousands of dollars. I am bummed to leave a poor review because I truly did want it to be positive, but I can't at this time. The surgery failed, and now I'm left with very few options to actually get this fixed. Regretful is an understatement. Dr. Urbinelli is nice, did a good job with bedside manner, and the anesthesiologist did a great job. Unfortunately, the office staff and Dr. Urbinelli were unresponsive many times after surgery, but I gave them the benefit of the doubt. Overall, it is frustrating, mentally debilitating, and I'm at a loss for what to do next. If you're looking to get surgery done for breathing issues or reconstruction of the nasal area, I would suggest going to a nose specialist instead of a general plastic surgeon.
If you have been thinking about Gynecomastia surgery in Syracuse, NY, Premier Aesthetics provides a straightforward spot to start with Dr. Leo J. Urbinelli. You will receive truthful replies, a personalized surgical plan, and help centered on lifelike outcomes.
Book a meeting to speak about your chest concerns and find out if surgery is a good choice for you.
Call Premier Aesthetics today if you are ready to stop hiding your chest
and start moving toward a shape that feels more like yours.