Gynecomastia or enlarged breasts is a condition that affects an estimated 40 to 60 percent of males. Although it is quite common many men see it as a source of embarrassment and are extremely self-conscious.
If the gynecomastia is mainly the result of excess fatty tissue, liposuction will be the procedure of choice to remove the excess fat.
A small incision, less than half an inch in size, is made around the edge of the areola – the pigmented area encircling the nipple. A slender, hollow tube-like instrument, called a cannula, is attached to a vacuum pump and inserted into the incision. The cannula is then guided by your surgeon to break up layers of fat beneath the skin and suction it out of the breast.
On the other hand if the condition is due to excess glandular tissue is the main cause of enlarged breasts, your surgeon will choose to excise or cut out this tissue out using a scalpel.
The excision will be made in a well-concealed area on the edge of the areola or under the arm. Working through this incision the surgeon will excise the glandular tissue. Excision may be performed alone or in conjunction with liposuction.
For men who have an extremely large amount of fat or glandular tissue in the breasts the surgeon may also excise skin.