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DR. ABDOLLAH MALEK: A male breast reduction which we actually refer to term gynecomastia to that is extremely common in two groups of people. Number one the very young people that have gone through puberty and the breasts have gotten larger and usually it subsides. But in a very small group of about 1 or 2% the breast does not go down and it stays to be fuller and these are very young men, they are very concerned about their appearance and they thing that it kind of like feminizes them a little bit. So that is the one group.

The second group are the people that have been on some medications or they are overweight and the skin and fatty tissue in the breast could become significant. In both groups, a significant amount of improvement can be achieved with very, very good techniques. The techniques that we use generally now is incision around the areola. And this incision can be used also to reduce the size of the areola because with enlargement of the breast occasionally areola gets larger too. So we can reduce the size of the areola and do the suction, remove the breast tissue, and many times this could be combined with liposuction to achieve a very good result. But this is one of those areas the result is extremely, extremely attractive and extremely satisfactory. And in both younger group and a group that are a little bit older, the result is wonderful.