HISTORY: This is a 17-year-old resident of Coloma, California who presents with gynecomastia. He comes in with his parents in which we had an extensive discussion about his gynecomastia. Hes had this since about 13 years old. His goal is to achieve a normal flat chest. He has lost 35 pounds; he has gone to an Endocrinologist with all lab tests being normal. He is 511, 198 pounds. He underwent gland excision and suction assisted lipectomy with 150 cc of fat aspirated from each side.He had 46 grams of tissue removed from his right chest and 400 grams of tissue removed from his left at Marin Cosmetic Surgery Center in Marin County, California. His postoperative photographs are taken 3 months after surgery.