This 40-year-old man suffers from adolescent gynecomastia, which has caused him to be extremely introverted due to significant embarrassment of his chest. He underwent glandular excision, liposuction of the chest and axillae, and a superior lift. I removed a total of 250cc of fat from the right side of his chest and 300cc from the left side. His goal was to be “flat-chested and look better in shirts.”