40 year old male desired reduction of gynecomastia (male breast tissue). As is commonly the case, this patient had taken a course of anabolic steroids a few years before to help him bulk up. One of the side effects of anabolic steroids is growth of breast tissue. This often persists after the steroids are stopped. Although small in volume, the breast tissue on each side did not look good on his otherwise fit torso. I used a combination of liposuction and a small incision near the nipple to remove the fibrous breast tissue. I did have to do a small revision under local anesthesia to remove some breast tissue that remained on the right side.