This 33-year-old man was concerned about the appearance of his chest. Despite weight loss and exercise, he was unable to see a difference in the contour of his chest. He was self-conscious due to the prominence of his chest, even in clothing. After a long discussion with Dr. Steele, he elected to proceed with awake liposuction of the chest with direct excision of residual breast gland through a small incision under his areola. A total of 2.2 pounds of fat and tissue was removed. He is shown 3 months postoperatively after resolution of postop swelling.