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This is a 19-year- old male from San Jose, California, who presents with adolescent gynecomastia and presents for gland excision and suction assisted lipectomy. His goal is to reduce the nipple puffiness and to be able to wear white shirts and to take off his shirt. He had 18 grams of tissue removed from his right breast and from his left breast. His photographs are seen approximately two months after surgery. He had a small complication of fluid accumulation on his right side which was removed by needle aspiration and it healed uneventfully.