 Good morning, everyone. Dr. Saul here in Beverly Hills. We're getting started this morning. We have our fine young gentleman here starting his journey to get summer body ready 2021. So let's see what he's going to have done today. He's in good shape. Look at him. He's pretty good. My goal is to look as good as this guy. He's in his early 20s. He comes in for gynecomastia. Now, as I told you, there are different ages where it comes in. A lot of people get it in the 12 to 15 year old range and it persists. So when you're getting hormonal changes in your body at that age and sometimes the gland doesn't go away and persists after your growth spurt. Here we have this gentleman. He's early 20s. He looks good. He's in good shape, but you can see he has some protrusion in his chest. You know, it's kind of uncomfortable when you're wearing a tight t-shirt or so. It sticks out. A lot of people wear double t-shirts and it's hot in California, especially in Los Angeles when it's 100 degrees to wear two shirts and not be free and comfortable. So what we're going to do is you've seen a marked up his triangular area. Raise up your arm all the way. We're going to hollow out this area where he has some fat and the gland is right there. I could feel it right there. So I'm going to mark it for you guys on this side. It's about this size. On his left, it's a little bigger and it goes towards his lateral side right there. So we're going to attack it. Give him a gladiator chest. Give him angulated on the side, flat on the bottom. So when he stands like this, it's going to be totally flat and a couple of things are going to happen. His areola are going to get smaller and the skin is going to retract. Stay tuned as this young fine gentleman starts his journey to get summer body ready 2021. So here we are. We light bulb. You could see what's left right there is the gland. You could see how it's smoothed out everywhere. But there's a little hill right here, right where we have our marking from before. So that's where the gland is. So we're going to get after the gland. So here we are. We freed it up. I can feel it freed up back there. Watch this gland. Look at this. This is all gland, fibrous tissue. Look how big it is. Look at that. Bam. That's crazy. That was laying, I think it was behind and something lateral like this. But you could see very little fat. It's all fibrous material. They had a big gland on this side. I think on the other side it's even bigger, but we'll see. But look at how big this is. So you could see we lipoded flat here. He's lipo'd here. But again, look at my marking. The blue mark right there around it. I believe the gland goes all the way lateral here. I tried to lipo him here, but I couldn't because I'm presuming that that's the gland and you saw that fibrous white material is not amendable to lipo. You have to open up the scar and pull it out. Okay. So here it is. Here's the gland from this side. There it is. Exactly. Just like that. Right where the blue mark was. This is where it is. So at the end of the case, you want to see nothing but red muscle. Look at that. That's all muscle. You need a little bit of fat, but all the major, all the gland is gone and most of the fat is gone. Hi everyone. Dr. Saul wearing the OR. We're doing a gynecomastia from my friend from ATL. He flew out here to see us today. He was sleeping while I was doing his surgery. How are you doing? Shout out to Atlanta. You're all your buddies back at home. Look at all the, look at this huge gland we took out of him. Look at that. It's impressive. There's one. Here's the second one. Look at how impressive those are. So I did the lipo contouring. I took out the gland at the end. I always do my little secret lipo at the end. You guys are all seeing the contour in his chest. How was your experience? 10 out of 10? How are you feeling? Well rested. Well rested. You came to have the surgery. You didn't come here to rest, but I could tell you you're a snorer because you were snoring during most of the case. Yeah. Long flight. You had a long flight just last night, huh? Oh yeah. But did you have any discomfort or pain while we were doing the surgery? None whatsoever. So you're you know you're done my friend. Am I? Yeah, I'm just gonna put in a few sutures. We took out you had two big huge glands as you suspected as we as we suspected when we did your exam virtually. Yeah. And you're gonna be nice and flat for the summer. That is amazing. You're gonna have that summer body. You're gonna be flexing the pectoralis muscle. I see your pec muscle clear and free of gland. It was very impressive. You had you had the right because I haven't seen one this big in a few weeks. We do a lot, but this was pretty impressive. Wow. So you're gonna feel really nice after you see the results. You're gonna have a flat chest contoured just like the way we talked about. Yes sir. Anything you want to send back home to people in Atlanta? Dr. Lajani's the best. Ah, you're the best. Thank you so much for flying out here. Are you planning to do any sightseeing while you're out here? Uh, well, I'm not here for too much longer, but I definitely plan on coming back. You just came out here to all the way for us, huh? Yes for y'all, man. My god, you're amazing. Thank you so much for having such confidence to come here because you know, we this is one of my specialties. I do a lot of these. Yes, I've definitely done my research. Okay, good. We like smart research patients. They come in. They know what they want and they have knowledge and we help them make the right choice. Yes. So here we are. We're done on this side. You can see how smooth it is compared to this side. Look at that big gland right there. This side is very nice and smooth. You can see the gland there. We're going to make them even now. I want you guys to appreciate the scar. Look at that. It's perfectly put around the areola. I I put in a layer of sutures to adjoin them and now I'm going to put another layer to close it up. But look at how perfectly it aligns. There we are. The incision is closed. If done perfectly, you can't even right after surgery, you can't even see it. Imagine in a year, there's no marks or evidence of any surgery. So you guys, here we are. We're done with the case. You can see everything is nice and even his glands are gone. He's flat. Raise up your arms for me. Raise him up. Here he is on the table. How do you feel? Do you feel anything? You can raise up your arms. No problems, right? No problems. It feels okay. You're going to go, you can go out to lunch, I think today. I know. You look amazing. How was the pain or discomfort during the case? I guess I'd say zero. I mean, I really didn't feel anything. Did you take, you took a nice nap, right? I was out. We were out and we didn't even use general. We did local. Yeah. You're looking great, my man. You're done. I took out the all the fat in the triangle. I could feel your muscle. The gland is gone, which was huge. Lift up your other side. Look at how flat he is. You could see the pectoralis major muscle is here. There shouldn't be anything here and that's the way it is. Look at how flat he is on the sides. This is with swelling and he's going to look fantastic and he already feels better.