Male breast reduction for mild gyno with moderate skin excess
To reduce breasts with moderate skin excess, again liposuction forms the mainstay of treatment for these cases, usually combined with the small incision below the nipple to remove the dense breast tissue behind the nipple.
A modest amount of skin excess in a young healthy patient with good skin quality (non-smoker) would be expected to shrink and recoil once the underlying tissue was removed. Alternatively, skin can be removed and the breast skin tightened, but this involves more scars.
The scars involved in a modest skin reduction would be all the way around the nipple. Again, this scar is relatively well hidden as it sits at the junction between the areolar and chest skin, but it is often puckered initially. This puckered appearance will settle and flatten after some months.