This 20-year-old African American from Columbus, Ohio came in to consult with Dr. Shah here at The Columbus Institute of Plastic Surgery to discuss the best possible way to achieve his desired results from gynecomastia. Dr. Shah agreed that there was an area of opportunity here, and recommended a level II gynecomastia procedure, to be performed under IV (twilight) sedation. He jumped at the opportunity to have a natural outcome to something that has bothered him! He is shown here before surgery and 3.5 months following.