Learning how to get rid of gyno that is persistent or severe is a bit different. If yours is moderate to severe in nature, surgery is likely the only way to reverse it. This is essentially a male breast reduction, which is a cosmetic procedure that most insurance companies don’t cover. Surgeons can use liposuction on moderate cases, which involves removing the tissue through a very small incision near your areola or in your armpit, where it is less noticeable. There is some discomfort post-surgery, but most men return to normal activities in a few days.