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Los Angeles, California: This is a 24-year-old man who presents for revision gynecomastia treatment. His procedure was initially performed in 2008 in which he underwent SMART liposuction as the complete treatment plan. He has been very unhappy with the outcome and presents for gland excision of the area. He has had gynecomastia since middle school. He’s had issues with taking off his shirt in public and his overall goals are to have a natural looking chest which is flat with nipples which are flat and smaller. He was seen at Marin County California in Novato for his evaluation and underwent gland excision revision gynecomastia treatment at the Marin Cosmetic Surgery in Marin County California. He had 31 grams of tissue removed from his right chest and 9 grams removed from his left. Dr. Miguel A. Delgado is an accomplished gynecomastia expert and specialist who performs gynecomastia treatment or male breast reduction for patients all over the United States and throughout the world at large. He has produced many documentaries regarding gynecomastia that have become very popular on YouTube -http://www.youtube.com/user/migueldelgadomd1/videos . Dr. Delgado sees patients most commonly on the entire west coast including Los Angeles, Sacramento, San Jose, San Francisco, and the entire California area. He frequently sees patients that travel from Oregon and Washington States and states in the mid west. Dr Delgado treatsmany patients for gynecomastia revision surgery which is a testament to his skill and experience.