Scar-less techniques like ‘subcutaneous mastectomy through a peri-areolar or intra-areolar incision’ and ‘liposuction assisted gynaecomastia reduction’ is excellent for low-grade (Simon grade I and IIa) gynaecomastia, but ineffective to deal with the issue of skin excess, areolar enlargement, and nipple displacement of high-grade gynaecomastia (grade IIb and III).