If there is a moderate enlargement (Grade 2, Grade 3), liposuction and excision of gland is done. The liposuction helps in reducing the fat component.
It usually done under general anaesthesia. Using tumescent technique the chest is infiltrated with fluid and the liquefied fat is aspirated (Liposuction) using a power assisted device.Following this excision of gland is carried out through an areolar incision.
A drain is kept and the incision closed and tight compression dressing given. It is an outpatient surgery.