Gynecomastia is the medical term that is given to men with enlarged breasts. While gynecomastia is often not talked about, it is a common condition that affects a large amount of men. Gynecomastia can affect one breast or both breasts. Men may experience gynecomastia for a variety of reasons, including obesity, genetics, side effects of medication or medical condition, and even hormonal imbalances. In some cases, gynecomastia can be improved by adjusting medications, prescribing new medications, or lifestyle alterations, but when these changes do not improve gynecomastia, male breast reduction surgery can help. Gynecomastia surgery removes excess tissue and fat that causes enlarged breasts. Gynecomastia can even remove excess skin in cases of extreme weight loss. The chest will appear firmer, flatter, and more masculine after excess skin is removed. Male breast reduction surgery can help treat enlarged breasts that are resistant to proper diet and exercise. The process of treating gynecomastia varies depending on what causes your particular case of gynecomastia. During male breast reduction surgery, there are 2 main differences in treatment, which include treating excess glandular tissue and excess fatty tissue. Excess glandular tissue will be surgically excised from the breast for a more contoured appearance. Glandular tissue removal may also be combined with liposuction to achieve an even firmer chest. Any liposuction incisions are discreetly placed so that there is little to no visible scarring after your gynecomastia surgery. In most cases, a liposuction incision is placed around the areola or underarm. Excess glandular tissue will be surgically removed from the bottom of the breast and around the areola. Liposuction is routinely performed in cases of removing excess fatty tissue during gynecomastia surgery. Liposuction incisions are inconspicuously placed along the areola or the underarm to provide the most natural-looking gynecomastia results. A cannula (slim tube) will be gently inserted through these incisions to remove the excess fat from your breast, contouring the chest to be more firm, flat, and sculpted. In some cases of gynecomastia, the nipples and areolas may need to be placed higher for a more natural-looking chest. The nipples and areolas may also be reshaped during gynecomastia surgery to better fit the shape and size of your chest after male breast reduction surgery.