San Francisco, California This is a 34 year old male who presents with adolescent gynecomastia to the San Francisco office for gland excision and suction assisted lipectomy. He takes Propecia but has had no issues with enlargement of the chest after he started Propecia. He is 6 feet 1 inch, 170 pounds. His surgery was performed at Marin Cosmetic Surgery Center in Novato, California. He had 47 grams of breast tissue removed from his right chest and 43 grams of breast tissue removed from his left chest. In addition he had approximately 350 cc. of fat and aspirate removed from each side. His photographs are seen approximately four months after surgery.