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This is a 19-year-old male from Madera, California, who presents for evaluation for adolescent gynecomastia. He underwent gland excision and suction-assisted lipectomy at Marin Cosmetic Surgery Center in Novato, California. He had 70 grams of tissue removed from his right side and 61 grams of tissue removed from his left side. His postoperative photographs are seen at approximately four months after surgery.