Male breast reduction is often considered for gynaecomastia where there is an excess of skin. Only be excising the skin can one reduce the volume, take away the excess fat and make the chest flat. One of the best ways to flatten the chest is to remove the nipples areolas as a graft, remove the tissue and then graft the nipple areolas back into place. It does take some time for the scars to settle but over time the scars fade and this result is seen after 4 years when the scars have completely faded.
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