Bakersfield, California: This is a 22-year-old male who presents with adolescent gynecomastia and presents to the San Francisco office for evaluation of his gynecomastia. He has been seen by an endocrinologist in the past for his gynecomastia and was placed on Tamoxifen for a 3-months. He noted slight improvement but not enough for his comfort. His goal is to have a flatter chest with less protruding nipples. He underwent gynecomastia breast gland excision of 13 grams of tissue removed from the right side and 12 grams on his left side. He had approximately 300 cc of fat removed from each side. His photographs are seen 3 months after surgery. His gynecomastia treatment was performed in Marin County California at Marin Cosmetic Surgery Center in Novato, California. Dr. Miguel A. Delgado is a well-known gynecomastia specialist who treats patients with gynecomastia throughout the United States of America and around the world. He has produced many documentaries regarding gynecomastia that have become very popular on YouTube -http://www.youtube.com/user/migueldelgadomd1/videos . His gynecomastia practice is centered in the California area and he sees many patients from the San Francisco, East Bay and North Bay of San Francisco,San Jose, Sacramento, Los Angeles, and San Diego areas. Dr. Delgados practice includes many gynecomastia male breast reduction revisions, which is a testament to his skill and experience.