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HISTORY: This is a 68-year-old resident of Sausalito, California who presents to the Novato office in Marin County for evaluation of his gynecomastia. Due to his age and the laxity of tissue he underwent a superior breast skin lift and gland excision with chest liposuction. His primary goal is to feel better in clothes and since he is a yachts goer, would like to be able to feel comfortable without a shirt. He underwent gland excision and suction assisted lipectomy with a superior breast skin lift as well as liposuction of the axilla. His surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. He had 350 cc of fat extracted from each axilla as well as 500 cc of fat excised from each chest. He had 66 grams of breast tissue removed from his right side and 103 grams of breast tissue removed from his left side. His photographs were taken about four months after surgery.