How do I get rid of my embarrassing man boobs? They don't go away and now I'm embarrassed to go out or even date anyone (Photo)

Yes it looks like you have gynecomastia. Gynecomastia does not typically cause back pain or shortness of breath. You should see you family doctor for these problems. It looks like you caould lose a little weight as well. You should go to see an experienced gynecomastia surgeon for an exam and more advise.

You have gynecomastia which is quite common.  Fortunately, the solution is safe and effective.  Surgery can be performed to remove the breast tissue and fat and give you a flat chest.  The most effective surgery for this particular case would involve aggressive liposuction with direct glandular excision.  Do see someone with experience with this procedure as results will vary from doctor to doctor.  Breathing issues and back pain can be any number of things and must be checked out by your primary care doctor before pursuing surgery.

You can get rid of your "man boobs" or gynecomastia through surgery. Whenever possible, I attempt to avoid skin excision due to scarring associated with this type of procedure. If the surgery leaves extensive scars, and the patient is very self-conscious about them, then the patient has merely traded one reason to never take off his shirt (‘man boobs’) for another (scars that show he had surgery for his ‘man boobs’). For that reason, I have treated a large number of patients by means of a staged surgical approach. In the first procedure, breast tissue is removed by ultrasonic liposuction with or without direct tissue removal – but only up to the point where a deflated or ‘saggier’ breast appearance is not produced. Several months are allowed to pass so that the final liposuction result can be evaluated. During this time, the skin tends to retract

Hello and thank you for your inquiry!Congratulations on your decision to undergo cosmetic surgery in order to achieve the aesthetic and physical result you are looking for as a man. As advised by previous surgeons on this thread, the best procedure for you is a male breast reduction, most commonly known as a gynecomastia surgery. The surgical procedure is done by removing excess breast tissue through an incision, usually done around the nipple area. Extra skin and breast tissue is removed, leaving you with a masculine looking chest.Vaser or traditional liposuction can also be done in the chest area to remove breast tissue. Each procedure leaves you with smoother skin and removes your breasts.One of the main improvements that men report is their newfound confidence. Men who undergo male breast reduction surgery improve their quality of life and are no longer ashamed of their upper bodies. For those who once shied away from taking their shirts off, they are now confident and have no issues with being shirtless on the beach or in an intimate setting with their spouse/partner.Besides improving your self-esteem, this surgery can reduce your chances of getting breast cancer, which men are not exempt from, and may help reduce the back and shoulder pain you are experiencing. Best of Luck to you ! 

I'm sorry to hear about the concerns you have regarding your chest wall. Accurate diagnosis would necessitate physical examination. It IS important to differentiate  as uncomfortable as gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis. 
Generally speaking, liposuction surgery alone is useful to treat lipomastia (an enlarged chest secondary to adipose tissue); rarely does it suffices as the only modality of treatment when it comes to treating true gynecomastia. Most patients with gynecomastia benefit from direct excision of glandular tissue plus/minus peripheral liposuction surgery.
My best suggestion: get to where you want to be through healthy diet/exercise, if you are not already there.  Then, if you remain concerned about the appearance of the chest wall, seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with.  Best wishes.

The good news for you is there are many good options for the treatment of gynecomastia (nail breast enlargement).
Treatment for gynecomastia depends on the extent of the condition. Sometimes the excess tissue is relatively small and concentrated under the nipple areolar complex. In this case simple excision intended to recontour the breast is sufficient. If the excess tissue is more fatty in its consistency liposuction may be a good option. Very often a combination of direct excision and liposuction is employed. If the breast enlargement is quite large it may be necessary to re-tailor the overlying skin envelope.
Consult a plastic surgeon who regularly treats patients with this condition. Make sure your surgeon is certified by the American Board of Plastic Surgery. Good luck

Unfortunately, many men are unaware of how common this condition is and how well it can be treated. As my colleagues have described, it is usually managed with an outpatient procedure, by modified liposuction, frequently supplemented with an incision at the border of the areola to remove the firm central glandular tissue.  Some patients also require skin resection.  Consider a formal consultation with a Board Certified Plastic Surgeon.  The first step will be a thoughtful history and physical examination, as it is important to determine if your breast growth is simply due to development or weight gain, or if there are things in your medical history that suggest another cause.  Rest assured that considerable improvement can be achieved!

All you need to do is some homework. It's called gynecomastia. It's treatable and it is liberating. It is associated with many psychological issues as you so nicely describe. Seek an evaluation from an experienced gynecomastia surgeon.

Enlarged male breasts ( gynecomastia) is a fairly common complaint from our male patients. Fortunately this condition can be successfully treated and the recovery and scarring is better than even a few years ago. Usually the reduction can be done with a combination of liposuction and some breast tissue reduction through a small incision at the lower edge of the areola. Occasionally in a more extreme case with skin laxity there will also be the need for skin resection. The tissue that is remove does not come back but can change based on weight gain or loss.. The surgery is done as an outpatient and we have special compression garments specifically for the post op period that are not visible under normal clothing. This is a very successful procedure with happy patients..

Enlarged male breast tissue can be very distressful when it affects your confidence and self esteem.  There is a very effective treatment for this which combines liposuction and excision of enlarged breast glands.  This is an outpatient procedure with a fairly easy recovery.  You will need to rest and keep a tight compression vest on for about a month afterwards.  Once all your swelling has gone you will be able to resume strenuous physical activity and hopefully feel much better about yourself.  I wish you all the best.