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Sacramento, California : This is an 18-year-old man with fairly significant gynecomastia who presents to the San Francisco, California office for gland excision and liposuction. He developed his adolescent gynecomastia at the age of 13 years old. He has undergone hormonal testing that is normal. His goal is to just have a normal natural appearing chest. He underwent gynecomastia breast gland excision and liposuction and the removal of a 6 x 5 x 3 cm tissue on his right and 6 x 5 x 3 cm tissue on his left. In addition he had a superior incision for a crescent areola lift for superior advancement of the areola tissue. The goal is to eradicate or reduce the lower breast fold. His surgery for his adolescent gynecomastia was performed in Marin County, California at Marin Cosmetic Surgery Center in Novato, California. Dr. Miguel A. Delgado who is a well-known gynecomastia surgical expert throughout the United States. He sees patients from the entire United States and throughout the world He has produced many documentaries regarding gynecomastia that have become very popular on YouTube -http://www.youtube.com/user/migueldelgadomd1/videos . Dr. Delgado sees patients from the entire California west coast including San Diego, Los Angeles, Sacramento, San Jose, San Francisco and other California areas. He frequently sees patients from adjoining states including Washington State and Oregon.Dr Delgado treats many patients for gynecomastia revision surgery which is a testament to his skill and experience.