This is a 51-year-old, male resident of Richmond, California who presented to the San Francisco office at Union Square for evaluation for gynecomastia. He is 6 feet 5 inches tall and weighs 270 pounds. He has had gynecomastia since an early age and, therefore, this is adolescent gynecomastia. He never takes off his shirt. His goal is to have a flat chest and wear a T-shirt. He underwent gland excision and suction-assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had 43 grams removed from his right side and 37 grams removed from his left. His photographs were taken approximately four months after surgery. Notice the overall nice improvement in his chest contour with nice skin contraction.