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San Rafael, California: This is a 77-year-old male who presents with gynecomastia at the Novato, California office. He developed his gynecomastia later in life and presents for gynecomastia breast gland excision and liposuction. He has undergone endocrine work up and found to have normal hormone levels. His goal is to be able to comfortablywear a t-shirt and to overall be more comfortable with himself. He underwent gynecomastia breast gland excision and liposuction as well a superior areola crescent lift to improve the position of his nipple. He had 10 grams of tissue removed from his right and 24 grams of tissue removed from his left side and about 250 cc of fat removed from each side. His photographs are seen six months after surgery. His gynecomastia treatment was performed in Marin County California at Marin Cosmetic Surgery Center in Novato, California. Dr. Miguel A. Delgado is a well-known gynecomastia specialist who treats patients with gynecomastia throughout the United States of America as well as around the world. He has produced many documentaries regarding gynecomastia that have become very popular on YouTube -http://www.youtube.com/user/migueldelgadomd1/videos . His major gynecomastia practice is centered in the California area and he treats many patients from the San Francisco, San Jose, Sacramento, Los Angeles, and San Diego areas, as well as Nevada and Oregon. Dr. Delgado’s gynecomastia practice includes many gynecomastia male breast reduction revisions, which is a testament to his skill and experience.