The location of surgical incisions for male breast reduction surgery depends on the severity and underlying cause of gynecomastia. There are two main approaches:
Liposuction-Only Approach
The liposuction-only technique is ideal for patients with excess fatty tissue and minimal glandular tissue. During this procedure, the surgeon makes small incisions—typically less than half an inch—near the areola (the dark area around the nipple) or under the armpit. A thin tube called a cannula is then inserted through the incisions to remove excess fat, sculpting a more natural chest contour. This approach is minimally invasive, resulting in smaller scars and a quicker recovery time.
Combination Approach
The combination approach is recommended for patients with both excess fat and significant glandular tissue. The surgeon makes incisions around the areola and/or along the natural crease where the chest meets the abdomen. Through these incisions, excess glandular tissue and fat are removed to sculpt a more contoured chest. In some cases, the nipple may be repositioned to achieve a more natural, masculine appearance. This technique provides comprehensive reshaping for optimal results.
In both approaches, the incisions are designed to be as small and discreet as possible, and the surgeon will take care to minimise scarring. The specific location and length of incisions will depend on the individual case and the surgeon’s technique. Dr Mistry will discuss the best approach for your individual needs during your consultation.