This is a 51-year-old male with adolescent gynecomastia who presents for male breast reduction surgery. He underwent surgery at Marin Cosmetic Surgery Center in Novato, California, for gland excision and suction-assisted lipectomy. He had previous gynecomastia surgery in 2010 where he had liposuction only. His goal is to obtain a flatter contour of his chest. His photographs are seen approximately six weeks after surgery.