This is a 48-year-old male from Sacramento, California, who presents with gynecomastia and lipodystrophy of the axilla. He underwent gland excision and liposuction at Marin Cosmetic Surgery Center in Novato, California. He had 28 grams of tissue removed from his right chest and 56 grams removed from his left chest in addition to having approximately 700 cc of fat and aspirate removed from both his right and left axilla region. His photographs are seen approximately three months after surgery.