A lot of patients often ask me - Doc, can you know immediately on the operation table how my breasts are going to look like after surgery ? The picture shown above is one of our patients who underwent gynecomastia surgery- both liposuction as well as some excision of glandular tissue which would not come out by liposuction: fat is one that comes out through liposuction. Also resistant tissue underneath the nipple needs to be excised at times to prevent a puffed nipple appearance. The picture shows the immediate correction that can be achieved by surgery+