Davis, California This is a 24 year old male who presents to the Marin County, California office for gland excision and suction assisted lipectomy of his chest. He has had male breasts since about 12 years old, thus adolescent gynecomastia. This may have been complicated by heavy marijuana use. He does take off his shirt at the beach and swimming pools but is very uncomfortable doing so. His goal is to decrease the puffiness of his nipples. He underwent a gland excision and suction assisted lipectomy of the chest at Marin Cosmetic Surgery Center in Marin County, California. He had 44 grams of tissue removed from his right side and 30 grams of tissue removed from his left. His photographs are seen about six weeks after surgery.