
Our cosmetic practice is focused almost exclusively on gynecomastia, allowing us to offer a highly specialized approach tailored to each patient. For suitable cases of mild to moderate gynecomastia, we offer a minimally invasive, no-scar technique that requires no incision around the areola. The goal is a natural-looking chest that looks great both in a T-shirt and with your shirt off, without perceptible scarring.
Not every patient is suited to the same approach, which is why we also offer the traditional open technique when it will provide the best result. During your consultation, we’ll recommend the surgical option that makes the most sense for your anatomy and goals.

One small poke hole (2 to 3 mm) is made in each armpit. A tumescent solution containing a local anesthetic and vasoconstrictor is infiltrated into the treatment area. PAL liposuction is than performed with special curved liposuction cannulas.


After the excess fat has been removed and the gland is isolated, we than use our dedicated equipment. Using our no scar technique, we can more easily and predictably remove as much or as little glandular tissue as we wish through the 2 to 3mm poke hole in the armpit.
Our surgical no scar technique essentially allows us the precision of the glandular excision of the open technique with less noticeable, more hidden scar than the pull through technique.




Dr. Roberto Tutino is a Board Certified Plastic and Reconstructive Surgeon. He has been practicing medicine since 2008 and received his board certification in Plastic and Reconstructive Surgery in 2013 following a 5 year Plastic Surgery residency. At our clinic, we believe in providing comprehensive and personalized care to our patients with gynecomastia. Our philosophy is built on three pillars: developing a deep understanding of the condition, delivering tailored treatments, and prioritizing patient well-being. We specialize in limited incision surgery, focusing on patients with mild to moderate excess of gland and fat. With Dr. Tutino’s comprehensive technique, the patients’ well-being and surgical goals are optimally addressed through a single small incision hidden in the armpit.


By pioneering the “No Scar Technique” we offer the most undetectable gynecomastia surgery available. With the least invasive technique to date, patients undergo a faster recovery with better results.

One small poke hole (2 to 3 mm) is made in each armpit. A tumescent solution containing a local anesthetic and vasoconstrictor is infiltrated into the treatment area. PAL liposuction is than performed with special curved liposuction cannulas.
After the excess fat has been removed and the gland is isolated, we than use our dedicated equipment. Using our technique, we can more easily and predictably remove as much or as little glandular tissue as we wish through the 2 to 3mm poke hole in the armpit.
Our surgical technique essentially allows us the precision of the glandular excision of the open technique with less noticeable, more hidden scar than the pull through technique.



Dr. Roberto Tutino is a Board Certified Plastic and Reconstructive Surgeon. He has been practicing medicine since 2008 and received his board certification in Plastic and Reconstructive Surgery in 2013 following a 5 year Plastic Surgery residency. At our clinic, we believe in providing comprehensive and personalized care to our patients with gynecomastia. Our philosophy is built on three pillars: developing a deep understanding of the condition, delivering tailored treatments, and prioritizing patient well-being. We specialize in limited incision surgery, focusing on patients with mild to moderate excess of gland and fat. With Dr. Tutino’s comprehensive technique, the patients’ well-being and surgical goals are optimally addressed through a single small incision hidden in the armpit.