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San Bruno, California – This is a 23 year old male who presents to the San Francisco, California office for evaluation of his adolescent gynecomastia. He does not take off his shirt in public due to embarrassment and shyness and his goal is to obtain a flat chest. He is 5 feet 8 inches, 210 pounds. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had 155 grams of breast tissue removed from his right chest and 151 grams of breast tissue removed from his left chest. He had liposuction of his axilla as well as his chest. He had 750 cc. of fat removed from each armpit area and then was turned flat and had additionally 300 cc. removed from his right chest and 400 cc. from his left chest. He had an uneventful post operative recovery. His photographs are seen at four months after surgery.