Background Gynecomastia is defined as a benign enlargement of male breast glandular tissue. It is the most common breast condition in male and prevalence ranges from 32% to 72%. No standardized treatment exists for gynecomastia. Objectives The authors treat gynecomastia patient with liposuction, complete gland excision through periareolar incison without skin excision. In case of skin redundancy, the authors use their special technique called Nipple Areola Complex (NAC) Plaster Lift Technique. Methods The authors conducted the retrospective analysis of patient who underwent gynecomastia surgery between January 2020 and December 2021 at Chennai Plastic Surgery. All patients were treated with liposuction, gland excision, and NAC lifting plaster when required. The follow up period range from 6 months to 14 months. Results A total of 448 patients (896 breasts) were included in our study with average age of 26.6 years. Grade II gynecomastia was most common in our study. The average BMI of the patients was 27.31 kg/m2. 116 patients (25.9%) experienced some form of complication. Seroma was most common complications in our study followed by superficial skin necrosis. Patient satisfaction rate was high in our study. Conclusions Gynecomastia surgery is safe and highly rewarding procedure for surgeons. Various technologies and methods like liposuction, complete gland excision and NAC lifting plaster technique should be adopted in gynecomastia treatment to give a better patient satisfaction. Complications are common is gynecomastia surgery but easy manageable.