This 36 year-old gentleman has recently lost weight, but is still bothered by his male breast enlargement (gynecomastia). He also recently decided to re-enter competitive bodybuilding, and came to MPS for removal of his breast tissue, as well as ultrasonic liposuction of his lower abdomen and hip rolls (“love handles”). A small keyhole (periareolar) incision was used to excise the glandular and fatty breast tissue, and the chest fat was sculpted via liposuction around the periphery for optimum smoothness. His abdomen and hips were reduced with ultrasonic liposuction at the same outpatient operation. He returned to everyday activity the next day, and exercise at 3 weeks.