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Davis, California – This is an 18 year old male who presents with adolescent gynecomastia. His course had been complicated by him taking testosterone in the past for body building. He states that his chest did not change after taking the steroids. His goal is to have a flat chest and to have a minimal amount of scarring. He elected to do a pull-through procedure for his gynecomastia surgery which is a minimally invasive technique. He is 6 feet, 195 pounds. He underwent gland excision and liposuction at Marin Cosmetic Surgery Center in Marin County, California. He had 10 grams of breast tissue removed from his right chest and 9 grams of breast tissue removed from his left chest. He had less than 100 cc. of fat removed from each side of his chest. He had a very small incision for the pull-through procedure. His post op course was uneventful. His photographs are seen at 2 months after surgery.