This is a 33-year-old resident of Fairfield, California who presented to the Novato office in Marin County for evaluation for revisional gynecomastia surgery. He is 6 feet 2 inches and weighs 175 pounds. He initially had his gynecomastia surgery in 1995, but was not completely happy with the outcome. The condition has been present since he was 12 years old and, therefore, this is adolescent gynecomastia. He underwent gland excision and suction-assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had 4 centimeters of glandular material removed from the right side and 5 centimeters removed from his left side. Note the improved contour of his chest.