Selma, California This is a 32 year old male who presents for revision gynecomastia. He initially developed adolescent gynecomastia and underwent liposuction of his left side and gland excision of his left side. The patient presented to the San Francisco, California office due to him not being satisfied with the primary surgery. He is 5 feet 11 inches, 220 pounds. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Novato, California. He had 24 grams of breast tissue removed from his right chest and 83 grams of breast tissue removed from his left chest. In addition he had 550 cc. of fat removed from the armpit region which is done when the patient is turned on their side. He also had a total of 250 cc. of fat removed from his chest. His post operative course was uneventful. His photographs are seen approximately one year after surgery.