Male breast surgery may involve liposuction, gland excision (cut-out), reduction mammoplasty, or a combination of these surgical techniques. If your breast enlargement is largely due to fat accumulation, it’s likely that liposuction alone will give a good result. In addition, the tumescent liposuction technique may be in which the surgeon would inject large amounts of fluid into fatty areas before performing liposuction. The volume of fluid causes the sections of fat to become tumescent or swollen or firm. These expanded sections of fat allow the liposuction cannula to travel smoothly beneath the skin as the fat is suctioned out, producing a smoother result and giving greater control over the amount of tissue removed. If your breasts are large because of the proliferation of the glandular component of the breast, it may be appropriate to remove excess breast tissue alongside liposuction. This surgery can be performed easily, by using either intravenous anaesthetics or general anaesthesia.