This is a 28-year-old resident of Downey, California who presented to the San Francisco office at Union Square for evaluation for gynecomastia. He is 6 feet tall and weighs 200 pounds. He lost approximately 100 pounds over the past year. He has had the condition since 18 years old and, therefore, this is adolescent gynecomastia. His goal is to feel more normal in his clothing. He underwent gland excision and suction-assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had 20 grams removed from his right side and 38 grams removed from his left. In addition, he had 250 cc of fat liposuctioned from his right and 150 from his left. The postop photos are seen approximately six months after surgery.