Gynecomastia surgery reduces breast fullness in men. This procedure helps to flatten and contour the male chest. Men may have excess localized fat under the areola or increased breast tissue over the entire breast that can extend into axilla. Excess skin of the breasts can also be removed during this surgery. Sometimes, a combination of liposuction and direct excision of the mammary gland is necessary. Gynecomastia surgery is the only consistently effective treatment for gynecomastia that has long-lasting results. Postoperatively, a compression vest will be worn daily for 4 weeks. Most men can resume normal activities within a few days. Patients should refrain from vigorous weight training for 6-8 weeks.