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" As a former sufferer of gynecomastia, I know how devastating it can be to your self esteem. There are several reasons for it. For an increasing number of patients, male breast reduction may be combined with liposuction, as well. Are there certain facts that are important to understand before you begin? It may be caused by fatty tissue or glandular tissue. The effects of both are not favorable for any sort of major operation and can affect the doctors decision on whether to have the surgery or not. The most common side-effects of gynecomastia are: Justin writes in the health industry and offers his opinion for men who want to lift their self-confidence and have a masculine breast appearance to see a Breast Reduction Doctor .