San Francisco, California This is a 37 year old male who presents with adolescent gynecomastia at the San Francisco office. His concern is the chest breast gland and fat component as well as the fat around his armpits. He is 6 feet, 215 pounds. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Novato, California. He had 62 grams of breast tissue removed from his right side and 56 grams of breast tissue removed from his left side. Additionally he had liposuction of his axilla and 600 cc. was removed under each armpit as well as 250 cc. removed from each side of his chest. His post op course was without any complications. His photographs are seen six months after surgery.