Santa Rosa, California This is a 14 year old boy who presents with adolescent gynecomastia which looks in the form of puffy nipple. He presents for breast reduction gland excision and suction assisted lipectomy. His goal is to be more comfortable and secure with himself. He is 5 feet 8 inches, 160 pounds. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Novato, California. He had 35 grams of breast tissue removed from his right chest and 31 grams of breast tissue removed from his left chest. In addition he had approximately 150 cc. of fat and aspirate removed from each side. His post op course was uneventful. His photographs are taken approximately four months after surgery.