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Piedmont, California – This is a 43 year old male who presents with adolescent gynecomastia at the San Francisco, California office for gland excision and liposuction. He has had his gynecomastia since adolescence and is quite embarrassed by his chest. He is 6 feet 2 inches, 190 pounds. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Novato, California. His surgery was complicated by a post operative hematoma. The following day he had swelling and discomfort. He underwent evacuation of the hematoma the following day. This resolved uneventfully. His photographs are taken two months after surgery.