San Jose, California This is a 36 year old male who presents with adolescent gynecomastia and lipodystrophy of abdomen and flanks. His desire is to have gynecomastia surgery and liposuction of his abdomen and flanks. He is 5 feet 11 inches tall and weighs 175 pounds. His surgery was performed at Marin Cosmetic Surgery Center in Novato, California. He had 40 grams of breast tissue removed from his right chest and 36 grams of breast tissue removed from his left breast. In addition he had 700 cc. of fat removed from his right flank and 650 cc. removed from his left flank. Additionally he had 1800 cc. removed from the abdominal area. He also had 150 cc. of fat and aspirate removed from his right chest and 250 cc. of fat removed from his left chest. He had an uneventful post op course. His photographs are seen at approximately ten months after surgery.