HISTORY: This is a 25-year-old resident of Martinez, California who presents with gynecomastia. He is 56 and 180 pounds and has had gynecomastia since about 12 years old. His condition first started with puffy nipples and then gradually enlarged. He took Gynexin, which is a non-prescription, anti-gynecomastia drug, which is heavily advertised with no results. His goal is to achieve a better chest physique. He underwent gland excision and suction assisted lipectomy. He had aspiration 150 cc of fat from each side followed by excision of 31 grams of tissue on his right and 33 grams of breast tissue from his left. His surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. His photographs were taken 2 months after surgery.