Gynecomastia describes breast tissue in the male patient. This is relatively common, and is most commonly a benign process if it occurs during puberty. There are various causes, including hormonal influences and medications, and the root cause is not always known. Although gynecomastia may improve on it’s own, it may require surgical removal. Depending on the age of presentation of symptoms, further work-up may be necessary to exclude underlying causes of gynecomastia that need to be addressed prior to any surgical intervention. Once a patient is deemed a candidate for surgery, and any necessary medical work-up is completed, we can proceed with surgical excision. This may be done in a variety of ways. Most commonly, liposuction is used to treat the softer breast tissue, and an incision around the areola is made to excise the fibrous breast tissue that is not amenable to liposuction. Using these methods, the scars are concealed relatively well around the areola. If there is a significant amount of excess skin, an additional skin removal surgery may be necessary. Treatment plans will be discussed during your consultation.