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Cosmetic Procedures - Gynecomastia - Operation
Gynecomastia reduction is almost always performed as an outpatient under general anesthesia. In liposuction only procedures, an incision is made either around the nipple or in a lower skin fold. The breast tissue/fat is removed through a suction cannula. Frequently, ultrasonic-liposuction devices are used. In open excisions, an incision is made around the lower half-circle of the nipple and tissue removed through this exposure. Liposuction is then done to feather the breast mound into the surrounding chest wall. In larger breast mounds, some concomitant reduction of skin is needed. This usually involves removing a circle of skin around the nipple (circumareolar technique), excising breast tissue and liposuction is performed through this open area, and the larger circle of skin sewn to the smaller nipple.
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