Gynecomastia surgery is performed using general anesthesia. Liposuction and direct excision of glandular tissue, through an incision around the areola, are the mainstays of treatment. Sometimes, excess skin needs to be excised either at the time of the initial surgery or at a separate operative intervention. Recovery time and scarring will depend on the method employed. The average patient is back to work within one to two weeks following the surgery, and once healed, scars are easily hidden in the natural chest contours or around the areolas.