BREAST - Ginecomastia   Mastoplasty (Male breast reduction)       Many men feel self-conscious about extra fat and tissue located in their chest area. Fortunately, gynecomastia can be treated with a procedure sometimes referred to as "male breast reduction." There are two variations on this procedure, depending on your needs. If we must remove fat, skin, and glandular tissue, the procedure will be done using a scalpel or a scalpel-liposuction combination approach. If only fatty tissue needs to be removed, the procedure can be done with liposuction alone .