HISTORY: This is a 28-year-old resident of San Francisco, California who presents to the San Francisco office for evaluation of gynecomastia. He has male breast enlargement from a very early age of about 10 years old, therefore, adolescent gynecomastia. He does not take off his shirt in public due to the embarrassment. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California in which he had 250 cc of fat aspirated from each chest through a periareolar incision. His photographs were taken 4 months after surgery.