Over the years, I have seen thousands of male breast enlargement patients, two-thirds of whom are in the third to fourth degree of development, with a very obvious feminine appearance of sagging breasts, a situation that is very embarrassing to patients and seriously affects their psychological and physical health. How can we solve this problem once and for all? Surgical procedures are the best way to treat this condition. However, can the traditional “one-size-fits-all” approach really meet the needs of “big breasts”? The answer is no. The traditional way of general surgery is to make a few centimeters of incision in the areola or side chest wall to remove the gland and fat, but it should be noted that even an experienced surgeon cannot do it precisely, and it is easy to “cut more” or “cut less”, causing depression or It is easy to “cut too much” or “cut too little”, resulting in depression or bulge. Therefore, we need to use minimally invasive glandular excision combined with superficial liposuction plastic surgery to complete the breast orthopedic surgery, which not only treats mastopexy but also restores the normal male breast shape without leaving scars. By precisely analyzing and aesthetically designing each patient’s developmental characteristics such as gland size and fat volume, the surgeon develops a targeted surgical plan to ensure the post-operative flatness and aesthetics of the breasts. Minimally invasive scarless surgery for male breast enlargement has changed the traditional “one-size-fits-all” surgical method, which brings great pain to the patient’s body and mind, and solves the troubles of many male friends in a painless way.