This 22-year-old man is 6′ and 195lbs. He suffers from adolescent gynecomastia, and prior to surgery never exposed his chest. He underwent glandular excision and suction-assisted lipectomy of the chest, from which I extracted a total of 450cc of fat from the right side and 300cc from the left. I also excised a total of 40 grams of glandular tissues from the right and 51 grams from the left. His goal was to achieve “practical expectations.