Moraga, California This is a 16 year old male who presents with adolescent gynecomastia and presents to the San Francisco office for gland excision and liposuction. He has had an enlarged chest for approximately three years and never takes off his shirt. He wears sweat shirts all day to cover up his chest. His father has the same condition as well. His goal is to be more comfortable with his chest and to be able to take off his shirt in public. He underwent gland excision and liposuction of his chest. He had 74 grams of breast tissue removed from his right chest and 78 grams of breast tissue removed from his left chest. In addition he had 100 cc. of fat liposuctioned from his right chest and 200 cc. of fat removed from his left side. He had a normal post operative course. His photographs are seen approximately two months after surgery.