Excess chest tissue can make you feel uncomfortable in your own skin—even if you’re healthy and active. Gynecomastia surgery offers a permanent solution to restore confidence and a more masculine shape.
Gynecomastia surgery removes excess chest tissue to create a flatter, more masculine chest contour.
Most patients return to light activity within a week, with swelling and soreness gradually improving over a few weeks.
A firmed, more defined chest that looks natural and feels more like you.
Slight swelling around the nipple with minimal visible fullness. Often unnoticeable under clothing, but still frustrating.
More pronounced tissue extends beyond the areola but still blends into the chest wall. Noticeable in fitted shirts.
Tissue becomes more visible and defined. It may create a rounded chest shape that’s difficult to hide.
Significant tissue and excess skin create a visibly feminized chest. Often paired with weight loss or hormonal shifts.
Grade 1 gynecomastia is the mildest form, with slight swelling around the nipples, some tenderness, and maybe a bit of puffiness or discoloration. It’s usually not noticeable under clothes, but might show when shirtless—like at the beach or pool.
Grade 2 gynecomastia involves more noticeable breast growth that starts to spread across the chest, sometimes even showing through clothes. Puffiness and tenderness around the nipples can stick around too, which can make going shirtless feel uncomfortable or embarrassing.
At this stage, the chest looks fuller and droopier, often showing through clothes and making it hard to feel comfortable. At this stage, the changes can really affect confidence, and it’s common for people to start looking into treatment options.
Grade 4 gynecomastia is the most severe form, where the chest takes on a noticeably feminine appearance with sagging, excess skin, and larger nipples. It can be hard to hide, even under clothes, and often causes emotional stress that makes treatment and support especially important.
If you’ve lost weight and are experiencing loose chest skin but want to avoid additional scarring, Renuvion may be a great option. This advanced technology tightens the skin from beneath the surface, helping it adhere more closely to the chest muscles—without creating a new scar.
Renuvion uses controlled heat delivered through a specialized probe, typically after gynecomastia surgery. The procedure takes an additional 30 to 60 minutes and can often be performed while awake.
This treatment is especially effective for men who have lost a moderate amount of weight (typically under 60 pounds), have lower nipple positioning (Grade 2 or 3), or are over the age of 50. However, if the nipple has dropped below the chest crease (Grade 4), surgical skin removal may be the better solution.
“I always had this issue with protruding male breast tissue that made me very self-conscious...being a bodybuilder, it was not always easy to take your shirt off...this was a great experience and I highly recommend. Dr. Ditesheim is the one for a happier YOU.”
“I had a great experience here! Dr. Ditesheim did an amazing job with my gynecomastia surgery...the surgery could not have been more smooth and I felt comfortable the whole time. The night after my surgery, Dr. Ditesheim even personally called to make sure everything was alright.”
“I chose Dr. Ditesheim for several reasons: his many years of experience with this surgery, his willingness to do a virtual consultation, [and] performing the surgery under local anesthesia which allowed me to drive myself...I felt no pain before, during, or after the surgery...it’s been over a year and nobody would know I had surgery...he truly nailed it.
“Staff was very welcoming and Dr. Ditesheim was very helpful in giving me an understanding of what Gynecomastia is and walked through the procedure. Also, made sure all my concerns and questions were answered.”
“Dr. Ditesheim and his entire staff were very knowledgeable and put me at ease (as this was my first cosmetic surgery ever). I was extremely pleased with the ease of the “awake” procedure for gyno removal.”
“Dr Ditesheim and his team had a lot of experience treating patients with my problem. I appreciated the minimally invasive methods that Dr Ditesheim uses to create outstanding results with almost nonexistent scarring.”
Rest and wear your compression vest. Mild soreness and swelling are normal. Most patients manage discomfort with over-the-counter meds.
You can return to light activity or work. Compression garment still worn. Bruising fades
Most swelling resolves. You’ll start to see early results. Avoid upper body workouts or heavy lifting.
Resume exercise. Chest appears flatter, more sculpted, and natural.
Final results set in as tissues heal and settle. Scars continue to fade.
Rest and wear your compression vest. Mild soreness and swelling are normal. Most patients manage discomfort with over-the-counter meds.
You can return to light activity or work. Compression garment still worn. Bruising fades
Most swelling resolves. You’ll start to see early results. Avoid upper body workouts or heavy lifting.
Resume exercise. Chest appears flatter, more sculpted, and natural.
Final results set in as tissues heal and settle. Scars continue to fade.
At Ditesheim Cosmetic Surgery, your consultation is more than a conversation — it’s a process built around you. In just three clear steps, we listen to your goals, evaluate your needs, and present surgery plan options designed to fit your lifestyle, body, and vision.
Meet with our team to talk through your goals, concerns, and vision—no pressure, just support.
We’ll walk you through the possibilities and explain what’s realistic for your body and lifestyle.
Your treatment plan is fully customized around you—designed to deliver results that feel natural and lasting.
Meet with our team to talk through your goals, concerns, and vision—no pressure, just support.
We’ll walk you through the possibilities and explain what’s realistic for your body and lifestyle.
Your treatment plan is fully customized around you—designed to deliver results that feel natural and lasting.
