Burlingame, California This is a 35 year old male who presents with steroid induced gynecomastia and presents for gland excision and liposuction. He does not take off his shirt due to the fullness in his chest. He does have some intermittent pain and would like to have a flat chest. He underwent gland excision at Marin Cosmetic Surgery Center in Novato, California. He had 22 grams of breast tissue removed from his right chest and 31 grams of breast tissue removed from his left chest. He also had extraction of 550 cc. of fat and aspirate from his right chest and 650 cc. of fat and aspirate from his left chest. He had an uneventful post operative course. His photographs are seen at four weeks after surgery. Of note, he was interested in having the gland removed completely and therefore we did total gland excision and fat flap closure to alleviate a crater deformity.