 Good morning everyone. Dr. Saul here in Beverly Hills. We're getting ready to get started with our first case of the day and we have this young fine gentleman here. He's he's one-on-one. Then he's an original artwork so we have to give him original work. We're gonna give him great work today. I like that tattoo. That's very it's very unique one-on-one. There's only one of you. There's one of him and just you're special just like everyone. So today we're doing some gynecomastia for this young gentleman. We're gonna make him you know how we say gladiator chest. We'll take off everything here on the side. Take everything down here. We're gonna leave some on the top right here because you do have a little fullness usually on the top but we're gonna extend your arm. Everything in this triangle which is lateral to almost to the pectoralis meet. We don't want to make his chest totally flat so we'll leave some. Same thing on this. We're gonna take off everything in this triangle. You can see what it's a nice triangle right here. Take all this. Take this. I could feel his gland there. I could feel his gland right there. We're gonna take it all out as he turns to the side. He's gonna have a nice concurrency with the rest of his body and it's gonna look beautiful, great. We're gonna take this down on the side. He's gonna look fantabulous. He's an original one out of one. Stay tuned for our original work from Dr. Saw. So you could see if you just do the lipo without the gland you could still have the gland. You see right there I could feel his gland. His gland is about yay. So from the side view you could see that there is a protrusion of the gland just like that. You see guys see that at home? Everything, all the landscape is flat except that elevation. So that's why when I see patients I have to decide what they need and I felt his gland so I knew he had a gland. To get it nice and totally smooth we'll have to take that out for him. We'll show you the glands when we take it out. Here's the one on the right side. So I laid just like that just like as I predicted it was it was fitting right into that area. Let's take these out. Let's take this. But look at what we ran into. The patient has history of lipoma. He's had previous lipectomies. Lipomas is a coalition of fat. Here it is. You see that it's this isn't a gynecomastia. He has gynecomastia but in it he also had a lipoma. So we're going to remove the lipoma too for him. Look at that beautiful. You could see it's a it's all fat. I'll open it up for you guys later but you see look at that it's just a shell of fat. There's the gland. It was laying just look at that perfect up long football shaped way right underneath the skin. So we got it all out like that just one piece and it's gone and you can see you can see how hard it is. I feel it. I'm sorry you guys can't feel it but how hard it is and it's out. That's it. That's the gland there. Here we are on the left side. There's the muscle. There's the pectoralis major muscle. You can see the weight the fibers go. You know what muscle it is. Tighten your muscle for me. There it is. Look at that. That's his muscle right there and we're alive. So here we are. We're done with this case believe it or not. It took about two hours maybe an hour or 45 an hour and a half or maybe even an hour. Look at that beautiful. There's his pectoralis major muscle. Clincher muscle for me one out of one. Look at that one out of one. There it is. Hundred percent right there. There's the muscle. You can see that he's very thinned out. I took out all the fat and the gland. It looks marvelous here on the right side. Tighten. So we did one out of one on each side. So we're two out of two. We're a hundred percent. It looks fantabulous. We're done. We're going to suture and close it up.