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This will normally leave a scar around the edge of the nipple. Excision involves cutting out tissue with a scalpel to remove excess glandular tissue. It involves inserting a small tube through an incision. Liposuction can remove excess fatty tissue. A male with gynecomastia may have too much of both types of tissue. The ratio of glandular to fatty tissue in breasts varies between individuals. The breast consists of firm and dense glandular tissue and softer fatty tissue.

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