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During breast reduction surgery for men, the surgeon may perform a liposuction procedure on the breasts to eliminate the excess fat tissue, which is causing the feminine appearance. The patient may also opt to have the remaining breast tissue reshaped to create a desired appearance. A breast lift procedure may also be necessary with the breast reduction if there is a large amount of tissue removed. This may be necessary because the skin isn't sufficiently elastic to conform to the new, smaller size of the breasts. The breast lift procedure will remove any excess skin that remains after the breast reduction and will pull the remaining skin taut to create a natural appearance.