This 38-year-old man is 510 and 155 pounds. He initially had gynecomastia surgery done twice between 1999 and 1991 by another surgeon, but was displeased with the outcome. I performed a revision procedure on him, consisting of glandular excision and ultrasonic liposuction of the chest and abdominal areas. I excised a total of 650cc of glandular tissue bilaterally form his chest. His goal was to achieve total masculinity of the chest area.