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This is a 34-year-old male from Hayward, California, who presents for gynecomastia evaluation. He underwent gland excision and liposuction at Marin Cosmetic Surgery Center in Novato, California in which he had 25 grams of tissue removed from his right side and 39 grams of tissue removed from his left side. His goal was to have a better appearance and more confidence and a “better custom look to his chest”. His photographs are seen approximately two months after surgery.