Grade 3 gynecomastia is the most severe stage, characterized by significant breast enlargement and sagging. To treat this, gland excision through a small infra-areolar incision plus or minus liposuction with the use of skin tightening devices such as Renuvion may be necessary. In some cases, a formal breast reduction may be required depending on the quality of the skin. A compression garment is also recommended after the procedure. #Gynecomastia #GynecomastiaGrade3 #BreastEnlargement #GlandExcision #Renuvion #SkinTightening #CompressionGarment