24-year-old muscular male (6’2″, 230lbs) with “fullness” in his chest since age 14. He was diagnosed with glandular gynecomastia related to puberty (most common), and never used steroids or any supplements. He underwent excision of glandular gynecomastia through the mini-incision approach with lower pole “hockey stick” lipo-contouring to bring out the mascular features of his lower chest. “After” photos are 2 months post-op.