Abstract
The presence of gynaecomastia can result in significant psychological distress. Surgical intervention should aim to remove glandular tissue whilst ensuring an aesthetically pleasing result. We present a case of excisional gynaecomastia correction with simultaneous enhancement of the pectoral contour with a modified dermal flap. This method utilises otherwise redundant autologous tissue without an additional donor site. We report an aesthetically pleasing result and discuss other modalities of pectoral enhancement currently described in the literature.