1. Get examined. You might not have gynecomastia.
Gynecomastia is the growth of breast tissue in males caused by a hormone imbalance, but some men simply have excess fat in breasts. They can still have gynecomastia surgery but they might be able to correct it with weight loss.

2. What is the cause of your gynecomastia?
Gynecomastia can be caused by hormone imbalance in teenage years which often resolves on its own with time or weight gain which also could be controlled without surgery. If you have used steroids in the past, breasts will typically return to normal state after discontinued use. There’s also an unlikely but possible medical condition like hyperthyroidism, kidney or liver failure that can cause it.

3. How does it affect you?
Some people feel pain and tenderness, others are psychologically affected by the appearance and cannot wait extended period of time to see if their breasts return to normal.

The procedure is typically not extensive and in many cases, liposuction alone can be performed to restore a natural look. Others might require skin or glandular tissue to be removed as well, so liposuction and tissue excision are both performed for the most effective aesthetic results.