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This 18-year-old patient had VASER-assisted liposuction in Saint Louis at West County Plastic Surgeons. Vaser is ultrasound-assisted suction that helps break down fibers during the procedure. No palpable disk was felt behind the nipple-areola. This means there was no reason to further excise extra tissue. The patient has been bothered by gynecomastia present through adolescence and continuing into early adulthood.