Previous treatment of the gynecomastia consisted of an infra-areolar incision or a complete transmammary incision allowing the approach to the desired fat and excess breast tissue. The results were often esthetically unacceptable with distortion, delayed healing, irregularities of the fatty deposits and problems in healing of the nipple as well as hemorrhage and infection. Treatment of gynecomastia, gynecomastia in the body builder, and female breast liposuction are discussed with possible complications.