San Francisco, California The patient is a 27 year old man who presents to the San Francisco office with adolescent gynecomastia and presents for gland excision and suction assisted lipectomy of his chest. He is 6 feet 2 inches and weighs 180 pounds. His surgery was performed at Marin Cosmetic Surgery Center in Novato, California. He had 38 grams of breast tissue removed from his right chest and 47 grams of breast tissue removed from his left chest. He also had 150 cc. of fat and aspirate removed from each side of his chest. He had an uneventful post op course and his photographs are seen at 2 months after surgery.