It is very common for men to want male breast reduction or gynecomastia surgery. While surgery is the best option, nonsurgical treatment with Kybella injections and laser skin tightening are options for those not interested in surgery but you must be realistic and expectations need to be set accordingly. I tell all my patients that there's a 100% chance of asymmetry after any breast surgery with or without a lift. Of course, the goal is to try to make you as equal as possible but everyone has asymmetries of the ribs, the muscles etc. It's very important to understand this as you, like all men, have some breast asymmetry that would be pointed out on examination and before any surgery. When men have excess breast skin, a reduction of this excess skin can be done through various scars and there are 3 different types of scars including liposuction, areolar scar, as well as all sorts of other chest scars. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of male breast reductions and gynecomastia surgery. I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.