San Francisco, California : This a 31-year-old man who presents to the San Francisco office for puffy nipples since 12 years old. He has had great difficulty socially and has undergone hormonal testing with all negative results. His goal is to have a better shaped chest area and wear a tight shirts. He underwent gland excision and suction assisted lipectomy of his gynecomastia chest and liposuction of the abdomen. His surgery was performed at the Marin Cosmetic Surgery Center in Marine County, California. His photos are seen approximately 6 months after surgery. These show before and after photographs of his gynecomastia surgery that was performed by Dr. Miguel A. Delgado. Dr. Delgado is an expert gynecomastia surgeon, he sees patients from all over the United States and throughout the world. He has produced many documentaries regarding gynecomastia that have become very popular on YouTube - . He frequently sees patients in Los Angeles, San Jose, Sacramento,Oregon, San Francisco and the Washington State region. Dr Delgado treats many patients for gynecomastia revision surgery which is a testament to his skill and experience.