BACKGROUND: Lipomastia (pseudogynecomastia, fatty-type gynecomastia) is defined as the benign enlargement of the male breast attributable to accumulation of the adipose tissue. The aim of this study is to describe the experiences of a stab incision on the nipple areolar junction method to the correction of lipomastia. The authors present a combined method ultrasound-assisted liposuction in conjunction with a shaver technique to effectively remove the fatty and fibro-glandular tissues of the male breast and avoid noticeable scar. METHODS: A retrospective analysis was made of 500 cases of lipomastia operated on in the last 16 months via sub-nipple approach. The extent of the clinical result, the technique employed, and the complications were observed. RESULTS: The volume of liposuction from each side ranged from 30 to 500 mL (median, 175 mL) and the median weight of the fibro-glandular tissue was 10.5 grams. Major complications from this procedure include undercorrection, overcorrection, infection, and hematoma. Our total major complication rate was 1.8%. CONCLUSIONS: These techniques of a sub-nipple stab incision are also alternative to correct lipomastia, avoiding undesirable scars.