Increased size of the male breast, or Gynecomastia, can be a psychologically and emotionally debilitating problem for men. Many men that I operate on for this issue have complained in the past about not being able to wear tight shirts and being self conscious at the swimming pool, gym, or locker room. Gynecomastia can occur for a number of reasons. Some of which include significant weight gain or changes in hormones around the time of puberty. Anabolic and body building steroids and other types of medications can also cause the condition. It is important to remember that anabolic steroids have very serious health risks. Even testosterone replacement therapy can cause recurrence of Gynecomastia after surgery is done. If you are planning on continuing anabolic steroids, it is best to avoid surgery altogether. Gynecomastia correction involves liposuction of the fatty components along with directly removing the actual breast tissue. There is not a single gland, as people believe, but rather a mixture of tissue. A procedure includes both liposuction and direct excision. After surgery, there are fairly significant restrictions with no exercise for four weeks. A compression vest will be worn for 6 weeks to help swelling go down. This procedure can be very satisfying for patients with realistic goals about the procedure and can boost self-esteem.