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As a bodybuilder, I operate on bodybuilders frequently, and muscularity does not impede the ability to perform surgery.Find a board certified plastic surgeon who performs hundreds of body contouring procedures and male breast reductions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
Good definition of the Pectoralis muscles does not pose a problem from getting successful gynecomastia surgery. The muscle should not be damaged or affected. Good luck.
Be sure you talk to a board certified plastic surgeon, you need to see before and after pictures, if you are a competitive body builder, most likely you will need resection (surgery) of the glandular tissue. The breast tissue lays on top of the muscle, because of that it does not matter if you have little or a lot of muscle mass.
There is no problem having reduction of the excessive breast tissue if your underlying muscles are well developed. In fact you increase your chance of having a better looking outcome. It would require an examination to be more specific. I think you will be very pleased with results from this procedure. Good Luck.
The size of the pec muscle does not matter as long as you have gynecomastia the results should be good.