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San Francisco, California – This is a 53 year old male who presents with adolescent gynecomastia that has been complicated by taking steroids for muscular growth. His goal is to be able to take off his shirt in public and to be comfortable. He is 6 feet 3 inches, 220 pounds. He underwent gland excision and suction assisted lipectomy of his chest as well as his axilla or armpit. His surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. He had 70 grams of breast tissue removed from his right chest and 46 grams of breast tissue removed from his left chest. He had 650 cc. of fat removed from both the right and left armpit region as well as 850 cc. removed from both the right and left chest. His post operative course was uneventful and his photographs were taken 3 months after surgery.