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HISTORY: This is a 25-year-old male resident of Berkley, California who presents to the San Francisco, California office for evaluation for gynecomastia. In addition he wishes liposuction of the abdomen and flanks. He has adolescent gynecomastia. He feels comfortable with his body and able to take off his shirt in public although a bit reserved. His goal is to have a “well defined chest with no excess fat”. He underwent gynecomastia breast gland excision and chest liposuction. He had ultrasound liposuction of the abdomen and flanks. He had 325 cc of fat extracted from his right flank and 375 extracted from his left. He underwent liposuction of his chest with extraction of 100 cc of fat from each side. He had 44 grams of tissue excised from his right breast and 24 grams excised from his left. His surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. His photographs were taken three months after surgery.