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Male breast reduction is done through liposuction. Surprisingly, you do not have to make additional scars. I have not seen anybody with very large breasts where a patient had to have a suction and then extra skin. The skin shrinks up remarkably, and therefore the liposuction technique is the preferred one for male breast reduction. It can also be done with open surgery, making an incision around the areola and surgically removing the excess breast tissue, but that can interfere with the nipple s