This is a healthy and very fit and athletic 21 year old man who developed bilateral gynecomastia after briefly taking testosterone boosting supplements. He noticed firm and tender masses of the breasts concentrated beneath the nipple-areolas, which were indicative of a glandular form of gynecomastia. Otherwise the rest of the chest was quite muscular with minimal subcutaneous fat. The best approach to correct his form of gynecomastia (male breast tissue enlargement) was direct excision through a small hidden incision around the areolar border. He underwent gynecomastia correction under general anesthesia. More tissue was removed from the larger right breast. He is shown before surgery and six weeks post-op.