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Gynaecomastia is a common condition that causes boys' and men's breasts to swell and become larger than normal. It is most common in teenage boys and older men. Surgery to remove excess breast tissue: - Liposuction: This surgery removes breast fat, but not the breast gland tissue itself. - Mastectomy: This type of surgery removes the breast gland tissue. it is done endoscopically, meaning only small incisions are used.