When gynecomastia is severe, when it persists, and in those cases where there is supicion of malignancy surgical treatment may be indicated. In most cases the incisions for this operation can be placed just inside the areolar border where they are less likely to be conspicuous. The glandular tissue must be removed. This firm fibrous tissue extends from the nipple areolar complex down to the surface of the pectoral muscle beneath. In some cases it is helpful to use liposuction to remove some of the fatty tissue which always surrounds this ductal tissue.
Pictures above represent a mild and a moderate case of gynecomastia treated surgically.
The preoperative views are on your left, the postoperative on your right. The most common complication following surgical removal of the ductal tissue is hematoma. When severe this could lead to a second operation to drain the collection of blood . Some residual deformity of the nipple areolar area may remain despite the best efforts of the surgeon. With any operation a wound infection could occur.