This 27 year old Pittsburgh, PA patient had developed a Gynecomastia condition called Puffy Nipples in which the build up of excess glandular tissue beneath the male breast causes the areola to protrude out abnormally. He became increasingly uncomfortable with his appearance and consulted with Dr. Blau after learning he is at utmost authority on the subject of Gynecomastia, having developed his own treatment form the condition called the “Natural Blend Technique.” The patient had male breast reduction surgery, excising the glandular tissue along with a small amount of liposuction. The incision is less than an inch in diameter and in an inconspicuous location. The patient returned to Pittsburgh very satisfied with his appearance.