This is certainly accomplished by way of a negligible incision at the bottom with the areola. For guys with much more critical gynecomastia, removing of excess skin and repositioning with the nipples might be needed. Dr. Franck makes use of wonderful sutures placed deep in the breast tissue for assistance https://grok.com/share/c2hhcmQtMw%3D%3D_f3cd42a4-69f0-4155-a0c3-9639e0113f4a