Periareolar Excision Gynecomastia / Liposuction 38 yo male with grade III gynecomastia – who underwent combination of liposuction with periareolar only resection with excellent healing and imperceptible scars given the amount of volume removed in one stage. His chest skin simply contracted given good elasticity of his skin. Once he begins to work out, he will have better definition to his chest and upper trunk.