This is a 27-year- old male from San Francisco, California, who presents with adolescent gynecomastia and presents for gland excision and suction assisted lipectomy. He underwent surgery at Marin Cosmetic Surgery Center in Marin County, in which he had removed 52 grams from his right breast and 56 from his left breast in addition to fat from liposuction. His overall goal is to have a flat more aesthetic chest. His photographs were taken approximately two months after surgery.