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San Francisco, California – This is a 54 year old male who is 5 feet 8 inches, 165 pounds, who had a 100 pound weight loss over 12-month. He presents to the office for evaluation and treatment of his male breast enlargement. He never takes off his shirt in public due to the size of his male breast and is uncomfortable wearing tight fitting clothing. His goal is to be able to take off his shirt in public and not be conscious of his appearance. He would like to wear tighter fitting garments. He underwent surgery at Marin Cosmetic Surgery Center in Marin, California. He had gland excision and liposuction of his chest as well as liposuction of his axilla and a superior crescent breast lifts. He had 99 grams of tissue removed from his right side and 96 grams of breast gland removed from his left side. He had an uneventful recovery and his photographs are seen approximately three months after surgery.