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This is a 29-year-old male from San Bruno, California, who presents with adolescent gynecomastia and presents for male breast reduction surgery. He underwent gland excision and suction-assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had 53 grams of tissue removed from his right chest and 46 grams of tissue removed from his left chest. His photographs are seen four months after surgery.