San Jose, California This is a 30 year old man with adolescent gynecomastia and presents to the San Francisco office for male breast reduction treatment. His goal is to get rid of his puffy nipples. He underwent gland excision and liposuction at Marin Cosmetic Surgery Center in Marin County, California. We removed 27 grams of breast tissue from the right chest and 21 grams of tissue from the left. He had an uneventful post op course and his pictures are seen four weeks after surgery.