How is gynecomastia surgery done?

Carefully!: A skilled plastic surgeon may use several different techniques depending on the anatomic severity at hand. Periareolar incisions and liposuction techniques are often used, and can be incomplete and unsatisfactory, but combination excision and lipo can yield nice results with minimal scarring. More severe cases will require skin incisions and scars. Technique and experience is important here.

It is a combination: It is often done with liposuction, but if there is a lot of breast tissue involved an incision will need to be made to cut the fibrous tissue that won't come out with lipo alone.

Dr Pousti agreed

Varies...: Gynecomastia, if persistent, is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice. For patients with excess skin, common after weight loss, skin excision may also be necessary. Best wishes.

Dr Parvez agreed

Combination: Excision and liposuction depending on severity.

Dr Pousti agreed