Dr. Kachare will review your surgical plan one more time and answer any last-minute questions. Once you’re under general anesthesia, the procedure begins.
If your gynecomastia is caused mostly by excess fatty tissue, Dr. Kachare will use liposuction. Small incisions (usually around the edge of the areola or under the chest) are made, and a thin cannula is inserted to help break up and suction out the fat, sculpting the chest for a smoother, flatter appearance.
If you have more firm or glandular breast tissue—something liposuction alone can’t fully address—Dr. Kachare will make a discreet incision (often hidden along the border of the areola) to remove the dense tissue surgically. In more severe cases, if there’s stretched or sagging skin, some skin tightening or repositioning of the nipple-areola complex may also be necessary to achieve a natural contour.
Once the chest has been reshaped, the incisions will be closed with fine sutures, and a compression garment will be put over the chest to reduce swelling and support the new contours.