HISTORY: This is a 21-year-old resident of Solvang, California who presents with gynecomastia. He presented at the San Francisco, California office for evaluation of his adolescent gynecomastia. . He is 62, 220 pounds. He underwent gland excision and suction assisted lipectomy of his chest with 300 cc of fat aspirated from each side. He had 49 grams removed from his right and 54 from his left breast area. His surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. His postoperative photographs were taken about two months after surgery.