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This is a 25-year- old male from Geyserville, California, who presents with adolescent gynecomastia. He underwent gynecomastia surgery at Marin Cosmetic Surgery Center in which he had 71 grams of tissue removed from his right chest and 41 grams from his left chest. His postoperative pictures are seen approximately two months after surgery. His overall goal was to have a flat chest with a natural appearance.