Many young men develop some breast growth during puberty and the majority of this growth resolves on its own. On rare occasion gynecomastia may be the result of a hormone imbalance, and evaluation by a pediatrician is sometimes recommended. If breast tissue still remains after puberty then I will treat the gynecomastia surgically. Sometimes it is treated with liposuction alone. Other times, a small incision at the areola border may be required to directly remove the tissue.