San Jose, California: This is a 21-year-old male who presents with gynecomastia to the San Francisco, California office and presents for gland excision and suction assisted lipectomy as well as a superior areola crescent lift due to the laxity of his skin. He has had gynecomastia since adolescence. He has had a large weight reduction. He does not take off his shirt in public due to embarrassment. His goal is to have a flatter chest and to be more comfortable with himself. He underwent gynecomastia breast gland excision and suction assisted lipectomy. He had 93 grams removed from his right chest and 86 grams removed from his left chest. His gynecomastia surgical treatment was performed in Marin County California at Marin Cosmetic Surgery Center in Novato, California. His post op photographs are seen approximately 3 months after surgery. Dr. Miguel A. Delgado is a renowned gynecomastia surgical specialist who treats patients throughout the United States of America and patients from all over the world. He has produced many documentaries regarding gynecomastia that have become very popular on YouTube -http://www.youtube.com/user/migueldelgadomd1/videos . He sees many patients in the California area including Los Angeles, San Diego, Modesto, Sacramento, San Francisco, San Jose, and other California areas. He treats many patients throughout the west coast region of the United States and a large component of his gynecomastia surgical practice is revision gynecomastia surgery.