This is a 30-year-old male from Ukiah, California who presents with adolescent gynecomastia and presents for gland excision and liposuction. He underwent male breast gland excision and liposuction at Marin Cosmetic Surgery Center in Novato, California. He had approximately 175 cc of fat removed from each side. His pathology was approximately 18 grams of tissue on the right and 22 grams of tissue on his left. His postoperative photos are seen approximately two months after surgery.