HISTORY: This is a 23-year-old resident of San Jose, California who presents to the San Francisco, California office for evaluation of gynecomastia. He has had male breast enlargement since an early age of 15 years old and therefore adolescent gynecomastia. He did take steroids in the past for body building, which accelerated his gynecomastia. He had two bouts of steroids. He does not take off his shirt due to embarrassment and his goal is to obtain a flat chest and to be comfortable without his shirt. He underwent breast gland excision and liposuction of his abdomen and flanks. He had approximately 225 cc of fat extracted from each chest, 38 grams of breast tissue was removed from his right breast and 34 grams of tissue removed from his left breast. His surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. His postoperative photographs were taken 5 months after surgery.