This is a 22 year old New York, NY male, who is 5'10 and 180 lbs, enduring a common form of Gynecomastia called Puffy Nipples, a condition causing the nipples to become swollen or “puffy” in appearance due to a formation of mammary tissue beneath the areola. Although diet and exercise can help reduce the condition, it will never fully go away on its own without surgical correction. The young man was troubled by the appearance of his chest and sought the expertise of Dr. Mordcai Blau, board certified plastic surgeon and a diplomate of the American Society of Plastic Surgeons. The patient was not only impressed by the success of the numerous before and after photos of other Gynecomastia patients offered on Dr. Blau's website, but he also learned that Dr. Blau is renowned world-wide as the utmost authority in Gynecomastia surgery. The patient underwent male breast reduction surgery, a procedure involving the excision of the mammary tissue. The patient was thrilled by the successful outcome and is happy to be able to remove his shirt in public without his previous reservations.