Men can consider a broad range of aesthetic procedures, with the choice guided by anatomy, health and personal goals. In this episode, Darren M. Smith, MD, a plastic surgeon in New York City, gives an overview of options for chin and neck contour, chest fullness, the abdomen and waist, muscle definition and facial lines.
The discussion's central theme is matching the treatment to the tissue involved. Fat, glandular breast tissue, skin laxity and muscle activity call for different assessments.
Key takeaways
🔬 Chin fullness and loose neck skin are separate concerns.
Dr. Smith discusses liposuction for fat, selected skin treatments and neck lift surgery when the degree of laxity warrants that discussion.
🔎 Chest fullness needs evaluation first.
The episode emphasizes considering possible medical causes before planning gynecomastia surgery, or male breast reduction.
🔬 Fat and glandular tissue may need different approaches.
Liposuction is discussed for fat, while glandular tissue may require excision. Excess skin adds another planning consideration.
🔎 Treatment can be staged.
Dr. Smith describes selected chest cases in which he reassesses skin contraction after the initial procedure before deciding whether further skin treatment is needed.
🔎 The overview extends beyond surgery.
Original Emsculpt is discussed for muscle conditioning, and Botox for forehead lines, crow's feet and frown lines. These address different goals from fat removal.
💬 Questions answered
Can liposuction alone treat an enlarged male chest?
It depends on what is creating the fullness. The recording distinguishes excess fat from glandular breast tissue and loose skin. An examination and evaluation of possible underlying causes help determine which approach, if any, is appropriate.
Can chest and waist contouring be considered together?
Yes. Dr. Smith discusses combining chest reduction with abdominal and waist liposuction in selected patients. Whether to combine or stage treatment requires an individual plan rather than assuming one package fits every person.
This 2020 recording describes device preferences and recovery examples from that period. Rapid return-to-work or exercise examples are not a personal recovery schedule, and original Emsculpt should not be confused with later device versions. For additional background on chest surgery, see the ASPS overview of gynecomastia surgery.
🎧 Episode chapters
01:25 — Chin and neck contour
02:34 — Chest fullness and gynecomastia assessment
04:45 — Abdominal and waist contouring
05:41 — Muscle conditioning and skin treatment
06:45 — Botox and facial lines
🔗 Related information
Explore liposuction for men, chin liposuction, Botox information, or request a consultation with Dr. Smith in New York City.
About the host — current biography
Darren M. Smith, MD, FACS is a board-certified plastic surgeon in Manhattan specializing in mommy makeover surgery, breast surgery, and body contouring. He was named to Newsweek’s America’s Best Plastic Surgeons 2026 and has co-authored authoritative peer-reviewed publications on combined breast surgery and abdominoplasty and the surgical care of postpartum patients.
Originally released September 19, 2020. Show notes updated September 30, 2026. This is general education. Current recommendations, suitability, risks and expected results require an individual assessment.
Full transcript and related resources
