This gentleman in his 40's had noted asymmetry in his chest. He had developed excess breast tissue under his right nipple. This area of extra fullness was also painful when working out or playing with his children. I removed the excess tissue with a small incision at the border of his areola. To further contour his chest I used liposuction to remove fat. He was very happy with his result and had excellent symmetry. The scar was barely noticeable.