This is a 29-year-old male from San Jose, California, who presents with adolescent gynecomastia and underwent gynecomastia surgery at Marin Cosmetic Surgery Center in Novato, California. He underwent 55 grams of gland excision on his right side and 26 grams of tissue removed on his left side. This young man is from Napaul, and his photographs are seen four months after surgery.