This is a 28 y.o. male 5 8 and 190 lb who underwent male breast reductions surgery for adolescent gynecomastia. His condition is grade 3 with significant laxity to his skin. He underwent gland excision with liposuction. This is the limit for what this procedure can do for loose skin before skin excision would be required. His skin requires more time for healing and some of the folds will resolve. He is seen 2 months after surgery.