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Oakland, California – This is a 39 year old male who presents to the San Francisco office for evaluation of his adolescent gynecomastia. He has been on Propecia for approximately 7 years but over that time frame, he has noted no increase in his breast size. He does not take off his shirt in public. His goal is to eliminate the extra breast tissue. He is 5 feet 9 inches tall and weighs 155 pounds. His surgery was performed at Marin Cosmetic Surgery Center in Novato, California. He had 29 grams of breast tissue removed from his right chest and 26 grams of breast tissue removed from his left chest. He also had 225 cc. of fat and aspirate removed from each side of his chest. His post op recovery was complicated by a post op hematoma that was seen in the recovery room. He went back to surgery for evacuation of the hematoma. Otherwise his post op recovery was uncomplicated. His photographs are seen approximately four months after surgery.