Since we began with ”Scarless” male breast reduction about five years ago we have begun to attract patients from a very wide area.  The technique itself for the Scarless gynecomastia operation involves the use of an instrument which will actually grind up the firm glandular tissue within the breast allowing it to be suctioned out as you would with the normal fat.  We have occasion to use this only about 25% of our patients but in that patient group it avoids what can be an unsightly scar around the areaola.  There is another larger patient group now with this applies and that is patients taking steroids or “food supplements” which contains steroids.  This usually leads to development of heart glandular tissue which responds well to the Scarless approach.  There is a short video on our website actually demonstrating the device itself.