 [ Symptoms ] i have “man boobs” do i need surgery or is there a drug that can help [ Disease ] it looks like you are suffering from gynaecomastia as you are slightly overweight too you should kick start with weight training exercises and work more on upper body that help in toning and tightening pectoral muscles take a low carb and high protein diet medication and gels can have some effects but results are not always promising if you do not find desired results with all these then liposuction with excision can be done hope this helps