This 45 year-old gentleman ran several times a week. He noticed that his chest seemed more “fatty” as he aged. Also, his side view bothered him, as he felt that he looked like he had protruding breasts, particularly when wearing T-shirts. He searched for Board Certified Plastic Surgeons in Michigan who performed male breast reductions. He scheduled his surgery at Ann Arbor Plastic Surgery for his gynecomastia surgery. The patient’s goal was to have hidden incisions so he could continue to have his shirt off while at the beach or boating. His goal was achieved, and his results exceeded his expectations.