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Man boobs, moobs... we’ve all heard the terms, but excess fat and more importantly breast tissue in the male chest area can be due to a real medical condition known as gynaecomastia. It is important to distinguish between ‘real’ gynaecomastia where breast tissue is present and ‘pseudo’ or ‘false’ gynaecomastia which is usually due to excess weight and fat accumulation. Procedures exist to improve the appearance of the male chest in both cases, but it is important to seek a correct diagnosis.