This 33-year-old man has suffered from severe gynecomastia from the young age of 10. He never takes off his shirt and wears a corset, stating that he is teased daily. He underwent glandular excision and suction-assisted lipectomy of the chest and axillae. His goal was to wear a T-shirt comfortably. He would be a good candidate for a periareolar lift as a skin tightening procedure.