This young man has a more significant case of enlarged chest, or gynecomastia.  His chest enlargement began around puberty and did not resolve one its own as some other cases do.  He was left with growth of breast tissue that were firm and tender, as well as enlarged areolas.  Treatment involved a combination of liposuction, direct removal of the gland, and reduction in the size of the areolas with skin removal.  You can see that the scars are kept well-hidden around the areolas.