Ask for the tissue assessment
Mafi describes liposuction, surgical removal or a combination for gynecomastia. Ask the surgeon what the examination suggests about fat, glandular tissue and loose skin in your own chest. This is the basis for understanding why a particular technique is offered. If there is an unexplained or recent change, clarify the medical evaluation before scheduling.
Compare technique and contour goals
Discuss incision locations, scar expectations, whether skin removal is proposed, and what amount of change is realistic for each side. ASPS describes surgery as a contouring procedure, not a guarantee of identical sides or a permanent response to every future weight change. Ask which part of your concern each technique would address.
Plan follow-up and costs
Confirm the operating location, anesthesia discussion, early support, garment or dressing instructions if prescribed, work and activity questions, and follow-up visits. Ask for a written quote covering the actual technique and separate facility or anesthesia fees. Make sure you know who to call after surgery if symptoms fall outside the written recovery instructions. If the sides differ, ask whether the technique and incision plan would also differ from one side to the other.
Questions and answers
Does liposuction remove all types of tissue?
No. Ask whether the plan also needs excision for tissue that liposuction would not address.
Is one technique used for everyone?
No. Mafi lists more than one approach; the surgeon should explain the choice after examination.