San Francisco, California This is a 30 year old male who presents after massive weight loss, going from 316 pounds down to 230 pounds. Even though his chest has reduced in size due to the loss of fat content, he still has fullness in both sides of his chest; his right greater than his left and has laxity of his skin. He does not take off his shirt in public due to embarrassment and he wants to feel secure enough to be with the opposite sex as well as doing simple things such as going to the beach or pool. He is 6 feet 2 inches, 226 pounds. He underwent gland excision and suction assisted lipectomy as well as a superior crescent lift to lift the nipple-areola complex to try and remove the lower fold primarily on the right, which is greater than the left. He underwent his surgery at Marin Cosmetic Surgery Center in Novato, California. He had 179 grams of breast tissue removed from his right chest and 84 grams of tissue removed from his left chest. In addition to this he had liposuction of the axilla as well, due to the fullness around the armpit region. He had approximately 1200 cc. of fat removed from each armpit area, in addition to 650 cc. aspirated from his right chest, and 550 cc. of fat extracted from his left chest. He had an uneventful post operative course. His pictures are seen approximately two months after surgery.