This 36-year-old gentleman from Athens, Ohio came to discuss the gynecomastia procedure with top surgeon Bivik Shah MD. During his consultation, it was determined that he was a Level II gynecomastia case, and in order to reach optimal results, he would require tissue excision and liposuction. Dr. Shah flawlessly executed the surgery while this patient was under twilight (IV) sedation. He is photographed here before and a full 4 months post-operatively.