As such, a flat, yet pentagonal-shaped chest appearance with linear lines was designed in order to mimic an armored plate look. It became clear that although the chest needed to be flattened, it had to be bold and armor plate in appearance. As a result, a novel protocol was designed to allow for a stronger armor plate appearing chest to be created that would be more aligned with a masculinized abdomen. The initiative to create a more masculine chest contour protocol developed following observation that abdominal etching performed for males was disharmonious with the traditionally flattened chest appearance following gynecomastia repair 5, 6 ( Figure 2). In contrast, we present an alternative male chest contouring paradigm that provides for a bold and bulky masculine chest that is interposed on a chiseled, etched more masculinized abdomen. Although gynecomastia repair defeminized the chest, it was clearly not masculinized. 1, 2 Successful contouring of these patients, coined gynecomastia repair, required removal of both the peri-areolar glandular component and debulking of the peripheral adipose tissues 3, 4 ( Figure 1).

To date, patients have desired global debulking of chest prominence associating their bulky chest with a feminine and overweight appearance. Male patients are routinely consulted in our office regarding improving their chest contour. All patients treated to date demonstrate a muscular-appearing chest that is harmonious on an interposed masculine-appearing abdomen. We present a novel protocol to create an armor plate male chest appearance as an alternative to traditional gynecomastia contouring. We present an alternative to traditional gynecomastia repair which involves a novel approach to chest contouring creating a flat, yet bold, pentagonal-shaped breast with linear borders utilizing both fat and gland removal as well as strategic fat grafting back into the chest. In contrast to the former set of patients, these patients desire bulking of their breasts with a bolder-appearing armor plate look. We present a new set of patients who desire a more muscular-appearing chest than a gynecomastia repair that is interposed on a chiseled abdominal contour. These patients have associated their overweight body image, with the femininity of their breasts as presented by fullness and roundedness of their breasts and subsequently have desired maximal flattening of their breast. To date, majority of patients have desired elimination of their feminine-appearing breast, termed gynecomastia.

Male patients are routinely consulted regarding dislike of their chest appearance.

Masculine contour