Dr. Perez-Gurri or Dr. Garcia will perform liposuction, surgical excision, or both to eliminate gynecomastia. The technique used will be based on the severity of the patient’s glandular tissue, fat, and skin. Liposuction involves small, discreet incisions on the chest. A small, hollow tube (cannula) hooked up to a vacuum device is used to suction out the fat. If a patient has a significant amount of glandular tissue and skin to be removed, surgical excision (often combined with liposuction) is used. Excision involves incisions beneath each breast along the crease or around the areola. Glandular tissue and fat are removed. If necessary, excess skin is excised. Incisions are closed using sutures, and a compression garment is placed over the chest.