This 30 year old bodybuilder was referred to Dr. Landon McLain by a friend who had a similar treatment performed at McLain Surgical Arts.  He was unhappy with the prominent nipple buds associated with true gynecomastia.  This was more prominent with decreased body fat and also made him self conscious at the gym.  He underwent direct excision under IV sedation in-office to remove the glandular tissue.  He now has a flatter nipple areolar complex and an improved look.