Gynecomastia, although it seems to be rarely mentioned, is actually quite common. Gynecomastia affects 40-60% of men. It can be on one or both sides. Although some medications and medical problems were once thought to be associated with gynecomastia, most cases have no exact etiology. Gynecomastia can be divided into: 1. Fatty hyperplasia predominates, with a soft breast texture. 2. mammary gland hyperplasia with a firmer texture. 3. Both. Usually due to fat or glandular hyperplasia makes the male breast silhouette feminine. Breast reduction surgery can solve this problem, especially in seasons when men are less dressed and more upset about their image and lack of confidence. The fat and breast tissue are surgically removed, and in extremely enlarged patients, excess skin is removed to give the breasts a flatter, firmer shape. Currently we are able to achieve better results with aspiration treatment and minimally invasive glandular excision. Only a micro-hole of about 3mm is needed to aspirate and shape the chest, and a hidden areolar incision is made to remove the enlarged glandular tissue and reshape the male breast contour.