Gynecomastia can be treated with several different methods

Patients suffering from gynecomastia or male breast enlargement can be treated with several different surgical modalities.  These include:

• Liposuction only (preferably power-assisted liposuction)
• Liposuction along with surgical excision
• Excision of the glandular tissue (subcutaneous mastectomy) only.  

Surgical excision can be performed using semicircular incisions along the lower border of the areola or small 'stab' incisions along the areola.  The appropriate method chosen will depend on the underlying problem.

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The choice of site for incisions for liposuction of gynecomastia really depends on the extent of breast tissue that exists. Truth is, that the contour that you have afte surgery is probably more important than the exact location of the incisions. Occasionally I will make additional access incisions during liposuction of gynecomastia if I think it will allow me to obtain a better final contour.

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Treatment of Gynecomastia usually requires removal of brreast gland tissue in addition of liposuction of the breast. Insteased of making the standard incision below the areaola as your doctor has done, I now use a very small 1/2 inch stab incision within the areala and with a small instrument remove the breast gland tissue. the advantage of this is that the scar is much smaller and less noticable than the standard incision.