This is a 38-year-old resident of Oakland, California who presented to the San Francisco office at Union Square for evaluation for gynecomastia. He is 5 feet 11 inches tall and weighs 214 pounds. He has had previous gynecomastia surgery in year 2000 with liposuction only. He is not happy with the outcome and, therefore, presented to my office for further evaluation. His goal is to be able to wear a T-shirt and feel comfortable. He underwent gland excision and suction-assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had 49 grams removed from his right side and 44 grams removed from his left. In addition, he had 600 cc of fat liposuctioned from his right side and 500 cc from his left. These photographs are seen six months after surgery. Note this is a common reason for revisional surgery, in which patients have liposuction only as their treatment. Thirty to thirty-five percent of my practice is redo surgery from other physician practices and the primary reason is due to liposuction only. This does not remove the glandular tissue.