This 30-year-old male has struggled with excess breast tissue and chest fat since puberty. He was embarrassed because of his chest appearance and refused to take his shirt off in public. After a thorough evaluation, Dr. Steele recommended liposuction of the chest with direct removal of residual breast tissue through a small incision along the areola. He is shown almost 5 months after surgery and was thrilled with the new appearance of his chest.