Particular conditions : There are none

Procedure requested: Correction of the appearance of the chest

Local objective examination: Minimal adipose layer at the level of bilateral thoracic subcutaneous tissue. On ultrasound, the mammary glands were not hypertrophied

Indicated procedure: Liposuction and bilateral chest liposculpture

Procedure performed: Liposuction, liposculpture and subcutaneous mastectomy

Discussions: Although it was recommended to the patient that the removal of the mammary glands will most likely not be necessary because they were not enlarged so as to require mastectomy, as minimal hypertrophy of 5 mm bilaterally was confirmed by ultrasonography, the patient specified that he also wants a mastectomy. In certain circumstances (excessive local heat or after exertion) he states that the areolas enlarged and sometimes he felt a pain when palpated. This can be a sign of glandular hypertrophy which in time could lead to a significant growth of the mammary glands.