I appreciate your question and your concerns. The appearance of your chest can have a big impact on your masculinity. Gynecomastia treatment can restore confidence in your appearance, make you feel more masculine, give you more freedom in clothing options, correct poor posture, and make sports more enjoyable, but too often most men who suffer from gynecomastia do not seek treatment because they don’t know a surgeon they can trust. As a result, one’s quality of life can suffer dramatically due to gynecomastia. Fortunately, there are many ways to correct gynecomastia, all surgical procedures, but some less invasive than others. In cases of moderate to severe gynecomastia, I may recommend surgery where an incision would be placed around your areola or under your armpit and breast tissue removed from inside the breast. Or if the gynecomastia is mild, liposuction may be used to remove small pockets of fat from the chest. Once the desired shape and size of the chest has been achieved, I can also resize the nipple and areola complex, to give you a smaller more masculine looking nipples if they have been stretched out due to the growth of breast tissue. Once again the best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic surgery. best of luck! Dr Schwartz Board Certified Plastic Surgeon #RealSelf100Surgeon #RealSelfCORESurgeon