 Good morning, everyone. Dr. Saul here in Beverly Hills. We start our day with this great looking guy. Look at this muscles and everything He's in fabulous shape. I think his body fat is probably somewhere in the 10% range And that's like almost like athletic level. He's in incredible shape. He comes in He's in his 20s. He wants gynecomastia surgery So let's evaluate him. So if you have here to come here, we could see I could feel The gland right here. You could see I marked it in red It starts from here and it tails away to this side on his right It's bigger than the left the left is right there So as long as we're doing it, I always do it because the other one has a propensity to get bigger So we're going to contour his chest through a small hole here Then we're going to go inside here. Lift this up Take out that whole gland. I bet this one is going to be a big one on the right side The left one is going to be moderate. I could feel it. It's smaller. You could see my red But as long as you're doing it, you should always do it together because if you have the propensity to Have it occur it could happen in the other gland So as long as you're doing it, you should get it out at the same time It's going to be under the local. He's going to get Fantabulous ready for the summer. He is already ready for the summer. My goal is to look like him one day I don't know if I can get there. It's a big goal of the head But he's he looks fantabulous and let's get ready for his journey of getting the gland out of here Okay, so I I could feel the gland right in there. We lipoed him We were like I'm bet the gland is going to pop out once we get in there Especially on this side because he has a very nice side. You see look at that. It's trying to already get out Look at that right there. It's trying to get out. The next step is then we're going to Separate this So one question I had our patient just asked us because he's under low. He's like, can I move my arms? Absolutely, he can right after their case. He can move his arms because we're not going to do look at that ground I could already see look at that Be a beautiful one today So you could see I'm peeling off the gland that was in there off the muscle. There's the muscle fibers right here. I'm just Gently trying to cauterize and remove that off the muscle So here we are it was pretty difficult because it was pretty large from a small hole But you could see look at that. It was just laying on top of the muscle right here You could see the this is the side that was facing the muscle. You could see up. There's hardly any fat on this It's just hundred percent gland and you could see how fibrous it is and it's almost the last tethering of it Almost So I want you to see there's there's that's the numbing fluid, but there's the muscle right there. Look at that Look at that. That's his pectoralis muscle Very nice and intact. Nothing got touched on the muscle. It was just on top of the muscle Here it is. This is this was my outline in red and you could see how it basically So here we are. This is the anti this is the superior portion We took out what we did on the bottom, but he had superior Aspect also this could show you just even what a little supplement over the counter Tablet supplement can do to your gland. This is all there's no Injectable steroid or anything. This was just secondary to supplemental testosterone Tablets for working out you could see you have to be careful because it reacts differently in everyone's body So as much as I've taken out you could see it. There's still more in here I'm going to get all of it out for him Laterally watch when I pull you could see how much lateral Effect it has there it is you could see the difference between the tissue which is red and The white area which is the gland so I'm dissecting making sure We leave a hundred percent of the muscle back. There it is And let's see if we get this off for you guys at home boom So you guys This is really that's why you should see someone that does this all the time That's kind of an expert as a niche in this because look at how much he had I had to take out It was even for me that I do a lot of these I didn't anticipate this much gland all of it You could see though. I lipo it out the fat. This is all white gland. Look at this all these little pieces Look at it. I went lateral. I went superior Medial now. He's totally flat. Look inside here. Look at the muscle Look at that all nice red beefy muscle. The muscle is intact contract your chest muscle See the disease still contracts it contracted again There it is and you could see the outline of the chest muscle beautiful So in comparison look at the left and it's very minimal to what he had Compared to the ride. This was it. That was all right behind. I told you it was small But I just want you guys to see that There could be a large bear down with the case look at the results. He's all nice and flat Nothing you could see his muscles contract your muscles There it is. You can use all muscle look at the gland difference between it's one of the more significant ones I've seen in a long time where one side is much much bigger than the other side and but we got all of it out for him He's gonna look fantastic. It's gonna look more symmetrical, but it's never identical So we're done. He looks fantastic. How are you doing? I feel great. Do you feel much at all? Nothing not 1% Okay, amazing. You're doing great. You're done