*This 28 year old gentleman was bothered by the excess tissue in the breast area. It was more prevalent in the right than the left. He was a very fit with little to no excess fatty tissue so the treatment in his case was to surgically remove the fibrous bud of tissue. He searched the internet for a surgeon who was experienced in treating gynecomastia. Achieving this goal without leaving a contour deformity is where the experience becomes important. “It’s not (only) what you take but how you take it and what you leave behind”. In this young man’s case it worked out well. His “after” photos show him at four months out from his out-patient procedure with a nice resolution of his pre-operative concerns.