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San Jose, California: This is a 36-year-old male who presents to the San Francisco, California office for gynecomastia treatment. He has had adolescent gynecomastia for approximately 23 years and this has caused extreme difficulty with social activities. He does not take off his shirt in public and his chest is always on his mind. He has experienced pain in the chest areas as a younger man but not at the current time. His goal is to feel comfortable with his chest and to get this “off his mind”. He underwentgynecomastia gland excision and liposuction of his chest removing 20 grams of tissue from his right side and 15 grams from his left side including liposuction of the region. His surgery was performed in Marin County California at Marin Cosmetic Surgery Center in Novato,California. His surgery was performed by Dr. Miguel A. Delgado who is an accomplished gynecomastia surgeon who treats people throughout the United States and the world. He has produced many documentaries regarding gynecomastia that have become very popular on YouTube -http://www.youtube.com/user/migueldelgadomd1/videos . Dr. Delgado sees frequent patient throughout the west coast including San Jose, San Francisco, Sacramento, Los Angeles, San Diego, and the California areas. He frequently sees patients from Oregon and Washington State who travels to the San Francisco Bay area for treatment. Dr Delgado treats many patients for gynecomastia revision surgery which is a testament to his skill and experience.