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This is a 32-year-old resident of Tampa Bay, Florida who presented to the San Francisco office for evaluation for revision gynecomastia surgery. His primary procedure was performed in 1998 and due to the continued fullness in the area, he presented to my office for further evaluation and treatment. He underwent gland excision and suction-assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had 25 grams removed from his right side and 21 grams removed from his left. These photographs were taken six months after surgery. Note the fullness in his chest due to a very developed pectoralis, or chest muscle.