Gynecomastia
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This is a 17-year-old teenage boy with gynecomastia who had been fully evaluated by his pediatric endocrinology doctor. After the workup revealed no underlying medical issues, the patient was referred for a surgical evaluation to address his protruding nipple areolar complex, with the right side being worse than the left. He felt self-conscious that the nipple area would poke through any t-shirt. He wanted to get this addressed before heading off to college and got his wish by undergoing an excision of the firm breast tissue through a short curved scar around the nipple areolar complex. Additionally, he had gentle liposuction of the adipose tissue on both sides of the chest.