Nationally-Recognized Surgeon in New York City
Dr. Elliot Jacobs, MD, FACS is a board-certified plastic surgeon in Manhattan who is a nationally-recognized expert in Gynecomastia and Breast surgery.
Dr. Jacobs established his private practice in 1977, offering the full range of plastic and reconstructive surgeries, with a special focus on Gynecomastia Surgery. His male breast reduction and contouring techniques have been featured extensively in the media, including programs such as ABC’s “20/20” and Good Morning America, CBS’s The Early Show, The Doctors, MTV’s “True Life”, and Discovery Health.
With more than 30 years of experience in breast, facial and other plastic surgeries, plus thousands of satisfied patients, Dr. Jacobs is the experienced choice for a New York plastic surgeon.
- Certified Diplomate of the National Board of Medical Examiners
- Certified Diplomate of the American Board of Plastic Surgery
- Fellow of the American College of Surgeons
- Fellow of the International College of Surgeons
- Member of American Society of Plastic Surgeons,
- Member of American Society for Aesthetic Plastic Surgery
- Member of various local and regional societies of plastic surgery and Mensa.
Dr. Jacobs serves as an Honorary Police Surgeon for the New York City Police Department and as a Consultant in Plastic Surgery to the United Nations. He is on the attending staff of several hospitals in the New York City area, teaching the younger surgeons.
- Attended the world renowned Stuyvesant High School, New York City
- Undergraduate B.A. in Chemistry, Queens College, New York City
- Medical Degree, Mount Sinai School of Medicine, New York City
- Internship and residency in General Surgery, Mount Sinai Hospital, New York City
- Resident, Chief Resident in Plastic Surgery, Mount Sinai Hospital, New York City
- Served in the US Air Force
Transgender Surgery New York
Dr. Jacobs offers both female to male and male to female surgery. Dr. Jacobs and his staff are guided by a philosophy of treating every patient as they would like themselves to be treated. Transgender men and women can expect professional, caring, and personal attention at all stages of your surgery with Dr. Jacobs.
Top Surgery in New York
Dr. Jacobs has more experience with male breast reduction than almost any other plastic surgeon in the country, and has performed thousands of breast reductions for women. He has the knowledge and experience in sculpting breast tissue to create a masculine chest.
Dr. Jacobs works closely with his patients to determine the best Top Surgery method to create a masculine-looking chest while minimizing incisions and scars. Factors for determining the best approach include: your chest size, age and the quality and elasticity of your skin.
Minimal Scar Top Surgery
Dr. Jacobs is a longtime, nationally-recognized expert in Gynecomastia Surgery. Gynecomastia refers to male breast enlargement, a benign condition that affects a significant number of men and adolescent boys. Many of those affected by Gynecomastia opt for surgery to reduce chest size to masculine proportions and improve male contouring. The surgical approach to Gynecomastia Surgery is very similar to the Keyhole Top Surgery method but allows for more removal of fat and breast tissue.
Based on Gynecomastia Surgery and adapted by Dr. Jacobs for trans men, Minimal Scar Top Surgery involves only small incisions on the side of the chest and part way around the areola to allow access for liposuction and to remove breast tissue. This minimally-invasive procedure leaves nearly invisible scars after healing, and nipple sensation is retained, making it a popular choice for the right patient. Trans men who are small-chested and have good skin elasticity are ideal candidates. Testosterone therapy causes breast tissue to shrink in some trans men, so a length of time on testosterone may increase your suitability to this procedure. Revisions after your initially surgery can further improve results, including areola and/or nipple reduction.
If you are just outside the criteria for being suited to the Minimal Scar procedure, Dr. Jacobs can do a staged procedure that will yield low scarring and similar results.
“No one does [Minimal Scar Top Surgery] in New York as well as I do.” —Dr. Elliot Jacobs, New York Times
Keyhole Top Surgery
Dr. Jacobs also offers a type of Keyhole Top Surgery for trans men who have medium sized chests and fairly good skin elasticity. Dr. Jacobs’ Keyhole, or “Peghole”, technique allows him to re-position the nipple at a higher level (more masculine positioning), decrease the size of the areola, and remove excess tissue and skin. With this approach, the nipple retains some sensation.
Double Incision Top Surgery
For trans men with larger chests, Dr. Jacobs offers the popular Double Incision method of Top Surgery. The procedure involves incisions along the inframammary fold—along the base of the chest muscles—and thus results in more visible scarring. However, the technique allows excellent access to remove fat, breast tissue and extra skin, plus relocation of the nipple-areola complex to a more masculine position, making this an excellent approach for larger chested trans men. Double Incision Top Surgery includes free nipple grafts, affecting nipple sensitivity. Sensation is an important consideration for many trans men, and Dr. Jacobs can discuss this with you further at your consultation.
Other Masculinizing Surgeries: Dr. Jacobs can help trans men reach their transition goals with surgery procedures including Facial Masculinization Surgery, Body Sculpting and Mons Resection.
Male-to-Female Surgery in New York
Dr. Jacobs is a nationally-recognized plastic surgery expert and has performed thousands of breast surgeries for women in his 30+ years of practice. For trans women in New York City and the Northeastern and Mid-Atlantic regions, Dr. Jacobs is the experienced choice for MTF Breast Augmentation.
Dr. Jacobs will work closely with you to determine the Breast Augmentation method best-suited to you and your transition goals. Factors include the look you want, the size and shape of your breasts and pectoral muscles, and more. Dr. Jacobs will explain the differences between Silicone and Saline Implants, as well your options for incision placement, and implant size and placement, helping you understand what your final results are likely to be.
Dr. Jacobs also offers other procedures that can complement your breast augmentation, such as Body Sculpting Liposuction and Facial Feminization Surgery (FFS.) Dr. Jacobs is able to combine procedures to save money and time when safe and appropriate.
Surgery and Recovery
Surgeries take place in Dr. Jacobs’ private, modern and fully accredited surgical suite on Park Avenue. (The facility is accredited by the Joint Commission, the same organization that inspects hospitals across the U.S.) Dr. Jacobs is also affiliated with the New York Eye & Ear Infirmary of Mount Sinai, one of the most prominent otolaryngology and ophthalmology hospitals in the world.
Before your surgery, you’ll meet with Dr. Jacobs, as well as Dr. Calvello, the M.D. anesthesiologist who has worked alongside Dr. Jacobs for more than 25 years. The preferred method of anesthesia is twilight (or IV) sedation, which unlike general anesthesia, involves no breathing tube, and no sore throat, nausea or grogginess after surgery.
Typically, Dr. Jacobs performs FTM Top Surgery and MTF Breast Augmentation in 90-120 minutes.
About 2 hours after your surgery, you will be able to go home (or to the location where you are staying.) Most patients experience some bruising and swelling in the days immediately following surgery. Any discomfort can be controlled with prescription or over-the-counter pain relievers. Dr. Jacobs and his staff will provide you with detailed instructions regarding post-operative care, compression garments, and when you can return to normal activities.
- All patients are evaluated for psychological readiness for surgery, regardless of their gender identity or the procedure they are planning.
- While not necessarily required, a letter of recommendation from your primary care physician or counselor is helpful.
- 18 years or over.
- Mammogram or sonogram for FTM patients
- 6 months of Real-Life Experience (RLE)
Out of Town Patients
More than many other types of patients, transgender individuals know that it’s common to travel to find surgeons with the credentials and experience. Out of town patients get the experience of visiting New York (as recovery allows), recovering in privacy, and escaping everyday stresses that can negatively impact recovery. Dr. Jacobs works with patients from other states and countries frequently, and his staff can assist with travel details and accommodations for those flying to New York for transgender surgery. A medical caregiver can also be arranged.
Financing & Fees
If you need to pay for your surgery over time, Dr. Jacobs accepts credit cards (VISA, MasterCard, American Express, Discover) as well as CareCredit.
Insurance is not accepted for any procedure however, an insurance claim will be submitted after surgery is performed on behalf of the patient. Dr. Jacobs does not accept Medicare or Medicaid.
Pricing includes: Surgeon fee, OR fees, anesthesia fee, implants, garments, all follow-up care and revision (if indicated) surgical fee within the first year.
Costs are general estimates only (August 2015.) Exact pricing can only be determined following a consultation.
Dr. Jacobs is available for in-person consultations at his office in Manhattan. The $200 consult fee is applied to your surgery costs.
Have questions for Dr. Jacobs? Contact his office by clicking the Send Inquiry button.