A large percentage of teenage boys have some form of gynecomastia during puberty. However, this is self-limited and resolves within 2 years. Men will seek reduction of breast tissue to improve the contour of the breast and improve their self-confidence. Often, this procedure involves excision of breast tissue directly through incisions around the areola plus liposuction if needed. If there is a lot of excess skin, additional skin removal may be done as well. This skin excision may be done at the same time, but often at a later date when the swelling from the first surgery has resolved. This is called a staged procedure when it is performed as two separate procedures separated by a number of months. Compression garments are needed post op. This is done as an outpatient procedure under general anesthesia.