Does male breast reduction just involve liposuction of the breasts, or is there actual breast tissue that needs to be cut out? i'm considering getting male breast reduction surgery, but i'm not sure what it involves, and i'm kind of embarrassed to ask.

Gynecomastia : Gynecomastia is male breast enlargement due to glandular over growth. Generally the fibrous glandular tissue is not amenable to suction removal. Breast enlargement caused by fatty deposits may be removed by suction techniques. You must be examined and counseled by someone you feel comfortable talking to. Male breast cancer occurs in 1% of all breast cancers, so one sided enlargement should not be ignored.

Depends on severity: Male gynecomastia is very common, the surgeries used to treat it vary on the amount of reduction needed and on your skin elasticity. A board certified plastic surgeon can go through the options with you; but may involve excision of tissue and / or liposuction. Do not feel bad, most of the males treated typically are embarrassed about the way they look and is their primary motive to seek help.

Typically both : There are different degrees of excess tissue but in most cases, a combination of liposuction and resection of the dense tissue behind the nipple is needed.

Both: It all depends on your physical exam. If you have fatty large breast and little skin excess, you may be a good candidate for liposuction alone. But if you have large glandular breasts and extra skin, some of that may need to be removed surgically.