Surgery

The type of anesthesia used will depend on many factors, including your preference, the surgeon, the extent of the growth, your age, and the size of the incision. Either local or general anesthesia may be utilized. The surgeon often will make marks on the skin before surgery to indicate the areas to be removed.

There are different types of surgical procedures that may be utilized, including the following:

• Suction lipectomy - This is a form of liposuction that allows for tapering of the edges of the tissue without unwanted side effects. Complicated gynecomastia conditions may require an open surgical procedure, in which an incision is placed into the breast tissue and the excess tissue is removed. 
• Endoscopic surgery - This newer procedure uses a small, flexible tube with a light and a camera lens at the end (endoscope) to examine the inside of the breast. Tissue is then removed without placing a large, open, surgical incision. Data regarding the accuracy or complications of this technique are not available at this time.