Men have a breast gland behind their nipple areola complex. It is generally to small to notice but sometimes it develops into a noticeable size, even without cause.
In these cases we need to remove this glandular tissue with an operation. Under general anesthesia we try to remove all tissue with a liposuction, if necessary we remove the rest of the gland through a tiny incision on the lower end of the areola. In cases of extreme weight loss excess skin needs to be removed in some cases as well.