Particular Conditions : The patient states that he is not in a weight loss process

Requested Procedure : Improvement of chest appearance to be able to wear tighter shirts or t-shirts

Local Physical Examination : Severe bilateral subcutaneous thoracic lipomatosis, moderate/severe glandular hypertrophy confirmed by ultrasound, minimal skin laxity. Gynecomastia grade V

Indicated Procedure : Liposuction, liposculpture, and mastectomy with thoracic lipectomy, areola repositioning, and recreation of the infrapectoral fold

Performed Procedure : Liposuction, liposculpture, and mastectomy with thoracic lipectomy, areola repositioning, and recreation of the infrapectoral fold

Discussions : The patient was aware of the difference that would appear between the chest and the abdomen, as the abdomen would not be altered, but he was very satisfied with the result.