This is a 27-year-old male from Patterson, California, who had previous gynecomastia surgery from another plastic surgery practice. He was not happy with his outcome and felt that his right side was still too enlarged, and his left side was too puffy. His surgery was in 2007 and his goal at this time is to have a natural looking chest. He underwent gland excision and suction-assisted lipectomy in which he had 44 grams of tissue removed from his right side and 86 grams of tissue removed from his left side. He healed uneventfully, and his photographs are seen two months after surgery.