The patient underwent bilateral gynecomastia excision combined with bilateral chest liposuction to address excess breast tissue and fat. During the procedure, 28 grams of glandular tissue were excised from each side to reduce gynecomastia. Additionally, 100 cc of fat was aspirated from both the right and left sides via liposuction, further contouring the chest for a more masculine appearance. This comprehensive approach effectively reduced excess tissue and provided the patient with a balanced, flatter chest profile.