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Category: Forms of Gynecomastia

The Different Grades of Gynecomastia

Half of all men or more will have to deal with gynecomastia or male breast enlargement at some point in their life. One of the major causes of breast enlargement is for young men as they go through puberty. Fortunately for most, their breasts will return to normal within a couple of months to a couple of years. For others, surgery may be the only solution.

Adolescent gynecomastia in San Francisco

This 21-year-old young man suffers from adolescent gynecomastia. He underwent glandular excision and suction-assisted lipectomy. His goal was to “reduce my puffy nipples.”

The Severity of Gynecomastia Varies

Gynecomastia comes in several degrees of severity. According to the American Society of Plastic Surgeons (ASPS), there are four grades to help with identification.

• Grade I: severity mild, localized tissue felt just below the areola
• Grade II: severity mild to high, breast enlargement exceeds the boundaries of the areola without excess skin
• Grade III: severity high and visible, exceeding the boundaries of the areola with excess skin
• Grade IV: severity high and visibly feminine with excess skin

Gynecomastia affects each patient differently. In addition to various sizes and severity, the shape of the breasts may differ, and in some cases may be of conical shape. For some men, each breast may develop differently. A male breast reduction specialist is able to make the breasts of equal size.

“Risperdal” Causes Gynecomastia

The term gynecomastia became more well-known after the lawsuit against Johnson and Johnson for their drug “Risperdal.” Risperdal is prescribed for the treatment of bipolar disorders and autism in children. Risperdal was discovered to cause gynecomastia as a side effect for some young boys. The class action suit was widely televised by attorneys seeking to represent victims. Johnson and Johnson settled the suit with one of the highest payouts in history.

Gynecomastia Causes Emotional Problems

Gynecomastia is not physically dangerous; however, it can be the cause of low self-esteem and other emotional problems. Finding a gynecomastia specialist can be a challenge, do your homework, make sure your surgeon is board certified in plastic surgery, and view many before and after pictures, and read online reviews.

With the different grades of gynecomastia, men need to realize the surgery is not one size fits all. Each case is individual and the approach for surgery must be customized. The cost for surgery will vary depending on the complexity of the case.

Contact a Gynecomastia Specialist!

If you are in the Bay Area, call Dr. Miguel Delgado, M.D. at (415) 898-4161  for any gynecomastia issues. Dr. Delgado has been treating men with male breasts since 1989; his reputation has grown nationwide and worldwide. Many men travel from all parts of the United States and around the world to see Dr. Delgado, see the generous travel package offered to his patients.

Can Breasts Grow Back After Gynecomastia Surgery?

Before and After gynecomastia surgery in San Francisco

                                        Before and After Gynecomastia Surgery

A big concern for some men considering male breast reduction surgery is “will their breasts grow back?” This is a valid concern as it is difficult enough to decide to have surgery only to have the male breasts come back. In most cases, the results are permanent. However, there are instances that “man boobs” may return.

Not All Tissue and Fat Are Removed

True gynecomastia is treated by surgically removing most of the breast tissue and fat, however, some remains to give a sculpted chest and support the areola. It is the small amount that remains that could be a potential problem in the future.

If surgery is done for a young adolescent, male breasts may return because hormones are still stimulating overgrowth. Body builders know gynecomastia is a risk if they use anabolic steroids and they realize man boobs may return if they continue to use steroids after surgery, some choose to use drugs to block estrogenic effects.

Factors That Cause Man Boobs to Return

Patients who frequently use marijuana may find their male breasts return after surgery if they resume use. Another possible factor for breasts returning is if the patient should gain a lot of weight. Even though the fat cells that were removed won’t come back, the remaining fat cells could become enlarged. Other factors that may cause breasts to return could be certain medications or having a hormonal imbalance. Uncommon, but possible is scar tissue buildup.

To determine the probability of regrowth of breasts, finding the original cause can help in preventing recurrence after surgery. The main cause is puberty; but the breasts usually disappear after the teenage years on their own. Besides puberty, the main reasons for male breast growth are:

• Obesity
• Imbalance of testosterone and estrogen levels
• Decrease in testosterone production, common in older men
• Some medications
• Marijuana and other recreational drugs
• Psychological stress

Idiopathic Gynecomastia

If any of these conditions can be treated before surgery, it is recommended to do so to prevent regrowth. Unfortunately, the cause of male breasts is not always known; this is referred to as idiopathic gynecomastia.

The good news is that male breasts do not cause any health concerns but do cause a lot of angst for many men, a high percentage will seek surgical correction. Results are almost always long lasting without recurrence, in all the years that Dr. Miguel Delgado, M.D. has been performing gynecomastia surgery, he has seen very few cases where men have had a recurrence. Dr. Delgado recommends that his gynecomastia patients maintain a healthy lifestyle including exercise and good eating habits.

Call Now!

If male breasts are disrupting your life, call  Dr. Delgado (415) 898-4161 today for a consultation.

Allure Magazine Features Breast Reduction for Men

 Allure Magazine

Allure, the popular magazine that touts itself as the beauty authority, offers beauty tips and features articles on fashion, beauty products, and news in cosmetic plastic surgery.

A recent article published in Allure addresses why more men are getting male breast reductions than ever before. As reported in our previous blog, the article starts out quoting statistics by the American Society of Plastic Surgeons on breast reduction surgery showing that men for the first time accounted for 40% of the total.

Stigma for Men Removed

Allure points out how social media and reality shows have helped lift the stigma of men having cosmetic surgery. While women have breast reduction surgery to alleviate back, neck, and shoulder pain, men are more likely to seek surgical correction due to the embarrassment of their female type breasts.

Gynecomastia comes in varying degrees of severity. For mild cases, men who work out want a more toned look with their pec muscles more apparent. Gynecomastia surgery can help achieve their goal by removing and sculpting the layer of fatty tissue sitting on top of the muscle. For moderate to severe breast development, men seek gynecomastia surgery so that they can feel more comfortable when they go shirtless.

Quick Recovery

Allure points out that men today are more likely to pursue male breast reduction surgery because not a lot of time off work is necessary. Recovery is relatively quick and their shirts hide their post-operative garments.

Get Help Today!

Miguel Delgado, M.D. encourages men suffering from gynecomastia to call (415) 898-4161 or email info@dr-delgado.com today for a consultation.

Gynecomastia Discussed on the Nip/Tuck Talk Show

 

Nip/Tuck Interviews Miguel Delgado, M.D.

No More Man Boobs!

Michele Garber interviewed Miguel Delgado, M.D. for almost an hour on her Nip/Tuck Talk show. The discussion addresses the frustrating and humiliating condition known as gynecomastia. Ms. Garber’s in-depth interview covers causes and surgical options for men of all ages.

What You Need to Know About Gynecomastia

1. What is the best age for surgery?
2. Can enlarged male breasts come back?
3. Are there non-surgical options?
4. What are the risks of steroid use?
5. When will liposuction alone not work?
6. When is it recommended to see an endocrinologist?

California Board Certified Gynecomastia Specialist Explains

“Many young men may find that their male boobs are still present well after puberty,” states Miguel Delgado, M.D. However, the younger males have the best gynecomastia surgical outcome due to the good elasticity of their skin. Many men find they develop breasts as they age or gain weight. Dr. Delgado warns of the risks caused by different types of drugs and steroids.

To hear answers to these topics and many others, you can listen to the interview in its entirety here: http://niptucktalk.com/treatments-for-gynecomastia.

A Gynecomastia Consultation May Change Your Life

Miguel Delgado, M.D. emphasizes that each male breast reduction patient is unique; the solution is not “one size fits all.” Call (415) 898-4161 or email info@dr-delgado.com today for a personal consultation with gynecomastia specialist Miguel Delgado, M.D.

Common and Rare Causes of Gynecomastia

Common Causes Cured by Gynecomastia Surgery

Before and After Gynecomastia Surgery

 

 

 

Physiologic Gynecomastia

Gynecomastia is the proliferation of benign glandular breast tissue in men. Gynecomastia can be physiologic (normal body function), such as in newborns, adolescent young men and older men after the age 50. Gynecomastia can also be non-physiologic occurring at any age.

For physiologic gynecomastia, newborn babies may show breast development due to the conversion of androgenic hormones to estrogenic hormones by the placenta. However, for babies the breast usually returns to normal within a few weeks. For adolescent boys going through puberty, many will develop puffy nipples and/or fullness of their breast as they go through normal changes in hormone levels. However, for most young boys their gynecomastia breast will return to normal within a few weeks to a maximum of a couple of years. Male breast development is common in the aging man as testosterone levels begin to drop. Many older men choose to have male breast reduction surgery later in life.

Common Causes

Other more common causes for gynecomastia are medications, anabolic steroids, chemotherapy, dialysis, alcohol and marijuana abuse.

Uncommon Causes

Men need to be aware of uncommon causes that can attribute to the gynecomastia breast such as Graves’ disease and Klinefelter’s syndrome. Breast cancer in men is rare, accounting for only 1% of all breast cancers, however for men with Klinefelter’s syndrome, the incidence of breast cancer is 50 times higher.

For men who are malnourished, testosterone levels drop but estrogen continues to be produced causing an imbalance of hormones. Once normal nutrition takes place, male breasts may develop, this is called “re-feeding gynecomastia.” This phenomenon was noted when many malnourished prisoners of war were released after World War II. Within 1 to 2 years, the condition corrected itself.

Lavender and Tea Tree Oil

Another possible rare cause of gynecomastia in pre-pubertal boys could be the repeated use of lavender and/or tea tree oil as these

Can Lavender Oil Cause Gynecomastia

Lavender Oil

oils mimic the actions of estrogens and may inhibit the effects of androgens. National Institutes of Health (NIH) says more research needs to be done to support the link between these oils and gynecomastia.

It can be very challenging to determine the cause of gynecomastia. It is important for men with gynecomastia breasts to seek an evaluation from a Board Certified Plastic Surgeon that specializes in gynecomastia, who can determine if further evaluation from an endocrinologist may be recommended.

Get an Expert Opinion

Men with any gynecomastia concerns are encouraged to email or call (415) 898-4161 to set a consultation with Miguel Delgado, M.D., who has specialized in gynecomastia since 1989 and is considered an expert in the field.

“Adolescent Gynecomastia Treated in One Stage”

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

 Gynecomastia to the Extreme

★★★★★ Ratings: 4.74 -118 Reviews San Francisco, CA-Men with severe gynecomastia, who choose to have male breast reduction surgery, will find that they most likely will need their surgery done in two stages. Dr. Delgado found that by dividing the surgery into two stages that he could minimize the scarring that more aggressive one stage surgeries, performed by other surgeons, usually causes.

Two Stage Gynecomastia Surgery

Viewing the patient below, you can see how removing a tremendous amount of tissue and fat leaves a lot of loose skin and a breast fold, making the results for most men unacceptable.

Before and After Stage One Gynecomastia Surgery

Before and After Stage One Gynecomastia Surgery

Once the patient has healed from the first stage, after about 5 or 6 months, the second stage can be scheduled. The second stage is much easier than the first stage and can be done as an office procedure under a local anesthetic. During the second stage surgery, Dr. Delgado removes the excess skin in a donut shape around the areola. The closure is with purse string type sutures. The third picture of this patient shows the amazing results just two weeks after surgery.

2 Weeks After Stage Two Surgery

2 Weeks After Stage Two Surgery

There is a huge advantage for men to have gynecomastia surgery at a young age because the skin has a lot more elasticity.

One Stage Gynecomastia Surgery for Adolescents

The following pictures show a boy of 15 years of age who traveled with his parents from the East Coast of the United States to have surgery with Dr. Delgado. Due to the excellent quality of his skin, his surgery was completed in one stage.

Before Stage One Gynecomastia Surgery

Before Stage One Adolescent Gynecomastia Surgery

Recently his Mother sent a picture of her son one year later. She states how well he is doing and how thrilled they are with his results.

After Stage One Adolescent Gynecomastia surgery

After Stage One Adolescent Gynecomastia surgery

If an adolescent has gynecomastia surgery but hasn’t finished developing, there is a possibility that there may be additional breast growth. For all the years that Dr. Delgado has been performing this surgery, he has not had the need to re-operate on any of his patients. It is imperative when seeking a surgeon that you choose a Board Certified Plastic Surgeon that specializes in gynecomastia surgery to be able to evaluate a young man’s options.

Contact Dr. Delgado Today!

If you or someone close to you is suffering from large male breasts, call (415 898-4161) or email (info@dr-delgado.com)today for a consultation with Dr. Delgado.

Gynecomastia.org Features “Minimally Invasive Male Breast Reduction” Blog by Dr. Delgado

gynecomastia.org logo

San Francisco, CA-Gynecomastia.org is known as the world’s best resource for information about gynecomastia, also known as male breast reduction, moobs, man boobs, etc. Before the inception of gynecomastia.org in 1998, there was very little information available on the subject, and men suffered in silence, not aware of the prevalence of the condition.
With the advent of gynecomastia.org and other media outlets, gynecomastia is becoming recognized as a condition affecting about 60% of men at some point in their life. It has become a topic of the more you know, the more you want to know, for example watch for next month’s blog here on “CoolSculpting for Pseudo-Gynecomastia”.

In addition to the forums where men and young men can share stories and get support, the site offers a directory to help men find a gynecomastia specialist in their area. In addition to all these features, there is a huge photo gallery showing many before and after pictures of the member surgeons, including videos of patient’s experiences and results. There is a section on scientific articles covering topics from the history of the procedure, pathology, indications, treatment, etc.

Lastly, there is a blog section where the member surgeons can post on a variety of relevant topics, most recently a blog by Dr. Delgado. The recent post is on “Minimally Invasive Male Breast Reduction”. This is one of Dr. Delgado’s favorite topics that he refers to as the “light pull-through procedure”. This procedure has been around for a long time but has been greatly improved upon in recent years.

The blog explains that not all men are candidates for this procedure; it is for the man with puffy nipples and/or a small breast mound, no more than the equivalent of an A or B cup. There is a short 1 minute video showing some of the procedure, where tissue is being removed through a small incision after fat has been removed by liposuction. There are many advantages of this lesser invasive procedure including; no need for post-operative drains, a shorter amount of time in surgery, a faster recovery and with a smaller incision comes a smaller scar that heals to almost undetectable at the edge of the areolar.

Light Pull-Through Procedure

Light Pull-Through Procedure on San Francisco, CA patient

To determine if you might be a candidate for this minimally invasive procedure or CoolSculpting, call for a consultation with Dr. Delgado at his 450 Sutter Street, San Francisco office or his 165 Rowland Way, Novato office in Marin County, at 415 898-4161.

In examining gynecomastia.org, be sure to check back from time to time for updates on the blog page and additions to the articles page for current information on gynecomastia. The most popular feature, however, is the forums. At any given time,  there may be over 100 members’ or guests online, sharing stories, asking questions and giving first hand recommendations based on personal experience of such topics as; the best top plastic cosmetic gynecomastia surgeons, cost of male breast reduction treatment, social issues, opinions of over the counter treatments, etc. In order to participate, you do need to become a member, which helps preserve the privacy of all those who join. There is no cost to the members but there is a membership fee paid by the supporting surgeons which helps offset the cost of the maintenance of the website. The supporting surgeons are all Board Certified in Plastic surgery with a special interest in gynecomastia, with many participating in answering questions presented by the forum members.

How to Lose Man Boobs

 

Before and After Gynecomastia

This 26-year-old San Francisco patient is 5’6” and 172lbs. He underwent glandular excision and suction-assisted lipectomy of the chest and axillae. From the axillae, I removed 400cc of fat from the left and 450cc from the right. From his chest, I extracted a total of 250cc of fat from the right and 202cc from the left. I also excised 35 grams of glandular tissue from the right side of his chest and 29 grams from the left side.

San Francisco, CA-What is gynecomastia? Gynecomastia, also known as moobs, man breasts, and man boobs are the description of the development of male breasts, it will affect 60% or more of all men at some point in their lifetime.

The question of possible non-surgical options for getting rid of gynecomastia comes up frequently for all gynecomastia surgeons from adolescents and men hoping to find a resolution to get rid of the male breasts without cosmetic surgery.

The cause for some types of gynecomastia needs to be ruled out before attempting surgery or non-surgical methods. For example, 90% of adolescents will find their gynecomastia will go away on its own after puberty with no treatment at all. If a patient is suffering from “pseudo-gynecomastia” which is caused by fat alone, weight loss or liposuction may get rid of the man boobs, but liposuction is a surgical procedure. Some men will find that losing weight or removal by liposuction will leave them with loose skin, and then may opt for surgical skin tightening.

For all others,  it is important to try to determine the cause of the development of male breasts so that it will not reoccur if surgical intervention is the choice. For example, many men develop breasts while taking certain prescriptions drugs, or steroids, or smoke marijuana or other illicit drugs. Consulting with a gynecomastia specialist is recommended to help determine the cause and to stop the offending drug or find an alternative.

There are men suffering with moobs that do not have surgery as an option. There are some measures that can be taken, but unfortunately, none will actually get rid of their gynecomastia.

One option that some men choose is to wear a gynecomastia compression type shirt; there are many styles and manufacturers to choose from and can usually be worn undetected under clothing. However, the compression vests can be binding and/or hot, and a trip to the beach or swimming or any activity that involves removing ones shirt, still presents a problem.

Exercise and lifting weights can build pectoralis muscles and will enhance definition, but the male breasts will remain, and the additional muscle mass may make them even more noticeable. Bodybuilders

If any research is done on the internet about gynecomastia, it is almost impossible not to see advertisements for herbal based supplements that allege they can reduce fat cells in size and quantity. The main ingredient is Chromium Picolinate, which is found in many over the counter diet products, and their fat reducing claims remain unsubstantiated. Even if they did work, they are only claiming a reduction of fat and not breast tissue which is present in all cases of true gynecomastia. There have been many reports on www.gynecomastia.org from men who have tried these products and they report very disappointing results. If you are tempted to try these products, before plunking down money, check Google reviews for the product, make sure that they are not posted by the company themselves as they have multiple websites and they do a very high volume of advertising.

The Mayo Clinic recommends that men who do not have surgery as an option seek psychological counseling and/or find support groups with other men suffering with gynecomastia, such as www.gynecomastia.org. There is comfort to be gained by learning how others deal with their condition, and many stories are shared on this popular site. For some men learning to live with gynecomastia without self-loathing is definitely an option.

Men who are able to have male breast reduction surgery and choose this option have an extremely high patient satisfaction rate.  For several years in a row male breast reduction surgery has been on the increase, The American Society of Plastic Surgeons (ASPS) reports that for 2012, there was an increase of 5% over 2011.

Gynecomastia, a Term Most Parents Don’t Know

Adolescent before and after gynecomastia

This is a 17-year-old resident San Francisco Bay Area, California who presents with gynecomastia. He underwent gland excision and suction assisted lipectomy with 150 cc of fat aspirated from each side.He had 46 grams of tissue removed from his right chest and 400 grams of tissue removed from his left. His postoperative photographs are taken 3 months after surgery.

San Francisco, CA-Gynecomastia, often misspelled, mispronounced, and misunderstood. Most people are not aware that having male breasts is a condition that can be caused by many different factors including, heredity, prescription drugs, illegal drugs, steroids, Klinefelter’s syndrome, puberty, aging, weight gain, and cancer of the male breast. For some, the cause remains unknown. If a pediatrician tells parents that their son has gynecomastia, many ask “what is gynecomastia?”If parents haven’t heard of the condition, how can they help their sons?

In 1995, there was an episode on Seinfeld where Kramer one of the main characters, invented “the Bro” also to be known as “the Manssiere”, a bra for men. This episode brought humorous attention to the condition except for those that suffer with male breasts. Negative attention has been in the media off and on ever since with cruel descriptive words like; man boobs, moobs, bitch tits, he-hooters, dude rack, man cans and more.

As boys enter puberty, it is not uncommon for them to develop female type breasts or what is termed as “puffy nipples”. At an average age of 13, this phenomenon is usually brought about by hormones being out of balance, but usually when the hormones even out the breasts will disappear. When the hormones are raging, for both boys and girls, they can become extremely emotional and sensitive and for good reason, their bodies are going through a lot of changes. This can be a very confusing time for young people and having supportive parents can make all the difference in the world.

As much as 40% to 50% or more young men going through puberty will develop some degree of gynecomastia on one or both sides. A visit to the pediatrician is in order to monitor any breast growth. For 90% of young men, the gynecomastia will resolve on its own within a few months to a couple of years. For the small percentage of boys that the gynecomastia remains, parents ask, “what is the treatment for gynecomastia?” There are no known treatments that can reverse the formation of breast tissue once it has remained past puberty except male breast reduction surgery. The good news is that the male breast reduction procedure is very successful with almost no evidence of surgery having been performed.

Gynecomastia can be demoralizing for any man, but for young boys who do not understand what is happening to their body, it can be devastating. Most feel it is their fault and experience incredible shame. They are not comfortable telling anyone what they are going through and do their best to hide their chest with loose fitting shirts. They avoid situations where they might have to bare their chest, such as going to a pool or the beach. It is amazing how many young boys are able to hide their breasts from their parents and hide the agony they are experiencing. Classmates can be especially cruel with teasing and name calling for the boy with breasts.

It is hopeful that parents will notice any unusual breast development in their son so that they can be good support for them. If it is before puberty starts or before 9 years of age it could be a more serious complication, and he needs to be seen by a physician. Search engines on the internet make information readily available. Family members or friends who have some knowledge of gynecomastia may take parents aside and guide them to seek help for their son. Pediatricians are in a position to alert parents and educate them and their son.

The World’s best resource for information on gynecomastia is www.gynecomastia.org. There is a directory of Board Certified Plastic Surgeons throughout the United States. The site offers many before and after pictures of male breast reduction patients, a blog page with interesting articles posted by member surgeons.

The most popular and active section of the site is the forums. One of the most popular forums is called “gynecomastia talk” where boys and men can share questions and experiences, and then there is a forum called “your stories”, one called “ask a doctor” whereby guys can post questions to the surgeons who are members of the site.

Another forum is called “surgery success stories”, this section has several stories written by boys and/or their parents. One in particular tells of a boy who had been silently suffering with his gynecomastia breasts for a long time and finally in an attempt to hide them better ordered a compression shirt that was supposed to help flatten his chest. His package arrived when he wasn’t home, and his Mom saw it first. When he came home and saw her with it he was beyond embarrassed, but it turns out his parents were very supportive and even willing to down-size their house in order to have enough money for him to have male breast reduction surgery. He didn’t allow that to happen, but the door was now open for them to have good communication and find a way to resolve his problem. This incident helped him to have a closer relationship with his parents.

There are many similar stories posted on gynecomastia.org. Unfortunately, not all young men are so lucky to have such supportive parents, but many of the forum members encourage young men to try talking to their parents. For those that do not have a good support system, gynecomastia.org is even more valuable. Many boys and men have found the support they need from other forum members, with ways to deal with all the different issues gynecomastia presents.

If I Need a Second Stage Gynecomastia Surgery, What Will it Cost?

image patient Severe Gynecomastia

Severe Gynecomastia

6 months After Stage One Surgery - image

6 months After Stage One Surgery

 

 

 

 

 

 

 

 

 

San Francisco, California-

Gynecomastia breasts (also known as moobs) comes in many different forms, from minor to severe. Each case is unique and needs to be evaluated as such.

For the fortunate men that have what is known as “pseudo-gynecomastia”, liposuction alone may be possible, for that condition is caused by fat alone and does not include breast tissue.

Then for the man that has only a mild to moderate case, it is possible for them to have a less invasive procedure known as the “Light Pull-through Procedure”, see details in the blog dated October 27, 2010.

For the moderate to severe cases, it is sometimes recommended that the surgery be done in two separate stages, allowing the patient to heal from the first surgery for approximately 4 to 6 months so that the blood flow can reestablish itself underneath the nipple-areolar complex. At the time of the initial consultation, it will be possible for Dr. Delgado to advise the patient if a second stage, also known as the peri-areolar lift, may be necessary to get optimal results. The second stage is usually done as an office procedure under local anesthesia with a fee of about $2500 to $2800, but as mentioned before each case is individual and the secondary surgery will depend on how much skin and laxity is present.

 

image patient after Severe Gynecomastia surgery

2 Weeks After Stage Two Surgery

before and after photo - banner

 

__ Contact Us For a Consultation

To schedule a consultation with Dr. Delgado in San Francisco, California or Novato in Marin County call 415-830-8883. You may also send us a e-mail at info@DR-Delgado.com or fill out our quick contact form. Send photos of your chest for a complimentary virtual consultation TODAY. We have a complimentary travel package for out of town patients that include travel to and from the airport, four nights stay at the Novato Oaks Inn and travel from the hotel to the office.

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