This is a 22 year old male from Manhattan, New York City, NY who came to Dr. Blau for his Puffy Nipples, a form of Gynecomastia in which the nipples become distended or “puffy” in appearance due to the formation of mammary tissue concentrated beneath the areola. It was a condition that troubled the young man and he found he was unable to reduce it on his own. He decided to explore surgical correction which brought him to Dr. Mordcai Blau, board certified plastic surgeon with over 20 years experience. The patient felt confident with Dr. Blau as he is considered the world's leading authority in Gynecomastia surgery throughout the world and is also a well-accomplished author on the subject. The patient was further impressed by the success of the numerous before and after photos of other patients offered on the website. Male breast reduction surgery was performed involving the excision of the mammary tissue. As can be seen in the post-op photos, there is much improvement in the contours of the patient's chest after only 6 weeks following the procedure. The young man is extremely happy with the successful outcome and is enjoying a new self-confidence.