This 55-year-old man suffers from adolescent gynecomastia. He underwent glandular excision and suction-assisted lipectomy of his chest, flanks and abdomen. From the right flank, I removed 1325cc of total fat, 1175cc from the left flank, 2650cc from the abdomen, 475cc from the right side of the chest and 450cc from the left side, bringing the total amount of fat removed to 6075cc.