38 year old male with a lifelong history of male breast enlargement. He requested excision of excess breast tissue and skin, and placement of the nipple in a higher more masculine position. Gynecomastia excision was performed through a single inframammary incision. All excess breast and fatty tissue was removed and the nipple areola was move to a higher position via free nipple grafting. He is shown 5 months after surgery and is very pleased with his new contour. He is able to wear tight fitting shorts comfortable and is no longer self-conscious about his chest.