Consultation: The process begins with a consultation with a qualified plastic surgeon. During this initial appointment, the surgeon will evaluate the patient's medical history, examine the breasts, and discuss the goals and expectations of the surgery. They may also request certain tests or examinations to determine the underlying cause of gynecomastia. Anesthesia: On the day of the surgery, the patient is administered either general anesthesia or local anesthesia with sedation to ensure their comfort throughout the procedure. The choice of anesthesia depends on the extent of the surgery and the patient's preferences. Incision Placement: The surgeon makes discreet incisions in the predetermined locations to minimize visible scarring. The incisions are usually made around the areola (the pigmented area surrounding the nipple) or in the natural creases of the chest.