True gynecomastia is an enlargement of the male breast gland tissue, excluding cases of simple fatty hypertrophy. These patients can only be treated by surgical excision of the gland after a clear diagnosis. In clinical practice, patients are often concerned about scarring, which is actually quite inconspicuous. A set of photos is provided below for reference. The above picture is before male mastopexy The above picture is before male mastopexy, the breast development is like a teenage girl The scar is located in the lower half of the areola, which is not obvious. This is another case when the stitches were removed one week after surgery. The scar around the nipple was a dressing mark. One year after surgery, the scar was not obvious in the lower half of the areola.