This 38-year-old mans suffers from adolescent gynecomastia, and would never take off his shirt in public. He underwent glandular excision and suction-assisted lipectomy of the chest, abdomen and flanks, from which I removed a total of 3700cc of fat from both sides of the chest. I also excised 55 grams of glandular tissue from the right and 44 grams from the left. His goal was to “have a normal-looking chest and go shirtless in public feeling self-confident.”