Many men suffer from enlargement of the mammary glands, which is known as gynaecomastia. This condition has a number of causes, which may include hormonal problems, obesity and genetic issues. Tissue weakening can also occur in older men as part of the ageing process.Many of those who suffer from gynaecomastia would much prefer to have a flatter, firmer male chest, and this can be achieved with surgery. The procedure is performed under general anaesthesia and requires a 2-3 cm long incision which is made at the lower edge of the nipple. This allows the underlying glandular tissue to be removed, and liposuction is also used at the same time to take away accumulated fatty tissue. A surgical removal of glandular and fatty tissue should normally rectify and prevent and further breast growth, though renewed breast development can occur in some cases. Of course, every care is taken during the procedure to create a harmonious chest contour, and in most cases modern surgical techniques mean large scars can be avoided.