This is a 22-year- old male from Elk Grove, California, who presents with adolescent gynecomastia and presents for gland excision and liposuction. His goal is to be able to take off his shirt. He wants a little more flat chest and a smaller areolar. He underwent gland excision and liposuction at Marin Cosmetic Center. He had 50 grams of tissue removed from his right breast and 52 from his left breast in addition to liposuctioned fat tissue. His photographs are seen approximately three months after surgery.