Advice For Seeking Gynecomastia Correction at 21?

Judging from your photo, I would recommend liposuction and direct excision of subareolar glandular tissue.  Of course you should consult with a board certified plastic surgeon in your area.  Good luck
and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

There are three causes of the enlarge breast in a male patient.  True gynecomastia  is firm glandular tissue underneath the nipple. The only way to remove this is through excision, which can generally be accomplished through a small incision underneath the areola.

Pseudogynecomastia is fatty tissue within the breast .  This can usually be treated with liposuction if the patient has good skin tone.

The most common gynecomastia that I see is usually a combination of both and we treat it with a combination of liposuction and direct excision.

I would recommend you see a board certified plastic surgeon in your area for an evaluation.  He or she will be able to tell you which option may best suit your goals. 

Best wishes.