This fit 29 year old body builder noticed a small amount of breast tissue just beneath the nipple and areola. This nubbin of breast tissue represented glandular gynecomastia. The problem was treated by direct surgical excision of the nodule. The tissue was removed through a short incision right around the border of the areola and leaves a very inconspicuous scar. The patient is seen two months after the removal of the abnormal tissue.