Breast reduction surgery in men with gynaecomastia is completely different from breast reduction in women. In men, the objective is to achieve a natural, flat-chested contour rather than to produce a smaller breast.

This is achieved by targeted surgery and liposuction in the breast area. Done under a general anaesthetic, the disc of glandular tissue just under the nipple is removed first. This is the source of the cells that divide to form the breast tissue in males.

The small incisions through which the liposuction tubes are placed are made around the top part of the areola, so that the scars are virtually invisible after healing is complete. The excess fatty tissue is then removed by liposuction and the surgical wound and the liposuction incisions are closed and stitched.