Napa, California: This is a 34-year-old man who presents to the Novato office in Marin County for gynecomastia treatment. He has had his gynecomastia since approximately 11 to 12 years old. In addition he has had a weight loss from 255 lbs. to 190 lbs. He is quite embarrassed with his chest and presents for gynecomastia breast gland excision and liposuction. He is 510, 190 pounds. He underwent breast gland excision of 41 grams of gynecomastia breast tissue on his right side and 45 grams of gynecomastia breast tissue on his left. In addition he had approximately 275 cc of fat aspirated from each of side his chest. The patient is seen 7 months after surgery. His surgery was performed in Marin County, California at the Marin Cosmetic Surgery Center in Novato, California. Dr. Miguel A. Delgado is a well-known gynecomastia specialist who treats patients from around the United States of America and throughout the world. He has produced many documentaries regarding gynecomastia that have become very popular on YouTube -http://www.youtube.com/user/migueldelgadomd1/videos . His primary practice is in the California area in which he treats many patients from the San Francisco, San Jose, Sacramento, Los Angeles, and San Diego areas, in addition to Nevada and Oregon. Dr. Delgados gynecomastia practice comprises many of revision gynecomastia patients, which is a testament to his skill and experience.