Typically, it involves Liposuction done through a small stab incision in the axilla, to remove the excess fatty & Glandular tissues. If a Glandular tissue is firm, it needs to be excised by a small incision in the periareolar area. In Post Bariatric cases, Skin excision may also be needed. Dr Samir has been pioneer of crisscross liposuction for gynaecomastia, which gives best results.