Gynecomastia surgery is a procedure to reduce the size of breast tissue in a person assigned male at birth. This surgery is also called male breast reduction and reduction mammaplasty. It helps people who have gynecomastia (enlarged male breast tissue).
Gynaecomastia is common in men of any age. Enlarged breasts in men can be the result of hormonal changes, weight gain, hereditary conditions, disease or the use of certain drugs, including anabolic steroids and marijuana.

Breast reduction surgery can be performed at any age, but is best done when the breasts are fully developed. Adolescents may benefit from surgery, although secondary procedures may be needed in the future if breast development continues.

Gynaecomastia can cause emotional discomfort and may affect a man’s self-confidence. Some men may avoid certain physical activities or intimacy with others to hide their condition.

 important issues to keep in mind include:

• Any surgical treatment to correct gynaecomastia will require incisions (cuts). While most incisions are hidden in natural contours or in the areolae of the breasts, some scars may be visible and these are an unavoidable result of any breast reduction surgery.
• If gynaecomastia has resulted from the use of certain prescription medications or drugs, including steroids or from weight gain, you must be fully free of these substances and remain at a stable weight in order to maintain the results of your surgery.
• Think about the financial cost. Breast reduction surgery to treat gynaecomastia may be partially covered by Medicare and private health insurance. Ask your medical practitioner for further information about out-of-pocket costs.
• Smokers are at increased risk of complications. If you are serious about undergoing cosmetic surgery, you should try to quit smoking.

Technique

Liposuction involves infiltrating fluid into the tissue and then inserting a cannula (a thin hollow tube) through a small incision. The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction. Factors such as the person’s age and skin elasticity are important considerations when deciding whether liposuction alone will give good results.

Excision (surgical removal) is recommended where glandular breast tissue or excess skin must be removed to correct gynaecomastia. Excision is necessary if the areola is to be reduced or if the nipple needs to be repositioned on the chest. Incision (cutting) patterns vary depending on the specific conditions and the medical practitioner’s preference.