Restoring Balance to the Chest

Men seek gynecomastia surgery for different reasons. Some notice persistent fullness despite fitness and weight changes. Others experience tenderness, asymmetry, or long-standing concerns that never resolved on their own.

At Restivo Plastic Surgery, gynecomastia surgery in Hawaii is approached with restraint and intention. As a female-led, boutique practice serving Hawaii, care is provided in a private setting at our Maui office, where recommendations are based on anatomy, health history, and individual priorities and not assumptions.

Understanding Gynecomastia Surgery

Gynecomastia surgery addresses excess glandular tissue, fatty tissue, or a combination of both in the male chest. The procedure is designed to create a flatter, firmer chest contour while preserving natural proportions.

Men pursue gynecomastia surgery when lifestyle changes alone have not improved chest appearance. Surgical planning varies depending on tissue type, skin elasticity, and symmetry, with the goal of results that look natural and appropriate for the individual.

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Understanding Gynecomastia

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Benefits of Gynecomastia Surgery

  • Improved Chest Contour: Removing excess tissue helps create a flatter, more proportionate chest that aligns with the rest of the body and fits naturally under clothing.
  • Physical Comfort: Many patients experience relief from tenderness, friction, or irritation caused by excess chest tissue.
  • Lasting Change: When underlying tissue is addressed appropriately, results are typically long-lasting, particularly when weight remains stable.
  • Renewed Confidence: Patients often feel more comfortable wearing fitted clothing, participating in activities, and presenting themselves without self-consciousness.

Am I a Candidate for Gynecomastia Surgery?

Gynecomastia surgery may be considered by men who have persistent chest fullness that has not responded to weight loss or exercise. Candidates are generally in good health and have realistic expectations about surgical outcomes.

During consultation, Dr. Restivo evaluates chest anatomy, tissue composition, skin quality, and medical history. Some cases may involve glandular tissue, others fatty tissue, and some both. Candidacy is determined collaboratively through discussion and examination, not pressure.

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What the Treatment Process Looks Like

1. Personalized Consultation

Consultation begins with listening—understanding what bothers you, what you hope to change, and what you want to avoid. Dr. Restivo provides clear guidance, including when surgery may not be the right choice.

2. Surgical Planning

The surgical approach is tailored based on tissue type and chest structure. Liposuction, tissue excision, or a combination may be recommended to achieve balanced results.

3. The Procedure

Gynecomastia surgery is typically performed under anesthesia in an accredited surgical setting. Incisions are placed carefully to minimize visibility while allowing effective contouring.

4. Recovery and Follow-Up

Post-operative care focuses on comfort, swelling management, and gradual return to activity. Follow-up visits ensure healing progresses appropriately.

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“Aloha, I have struggled for quite a few years trying to find a surgeon who would be able to perform the surgery I needed (en bloc explant) and also address all of my concerns and f...”

Aloha, I have struggled for quite a few years trying to find a surgeon who would be able to perform the surgery I needed (en bloc explant) and also address all of my concerns and fears. Finally the universe spoke and I was guided to Dr. Restivo. Moment one I knew I had found my surgeon. For those that are in need for the type of surgery I had, Dr. Restivo is the one and only, look no further. Everything went perfectly, she's very flexible for off island patients. Her staff is also just as amazing as she is. I'm so elated with my results and feel so blessed with my experience 🙏. Mahalo Nui Loa for being a part of my journey ✨️ I am forever grateful. 🌺

-M.M.

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“Restivo Plastic Surgery has been one of my best experiences on Maui. The all female staff have become like family to me. Since becoming a client, i’ve lost over 80lbs on a GLP-1 an...”

Restivo Plastic Surgery has been one of my best experiences on Maui. The all female staff have become like family to me. Since becoming a client, i’ve lost over 80lbs on a GLP-1 and feel like a completely different person. What made a difference for me was having weekly support and encouragement during my weigh in appointments. The support I received focused on both the physical and emotional issues for my weight gain and how to maintain my weight loss going forward. I had a lower facelift procedure done in Boston and Dr. Restivo was the only person to ever explain the causes for some scarring and numbness under my chin. I am considering an additional facelift and would only trust Restivo Plastic Surgery to perform that procedure. A friend of mine went to the other larger plastic surgeon on the island for a facelift. Although it looked OK, she said the experience was awful and very stressful. Dr. Restivo is a warm and caring physician, who has been personally invested in my treatment and success. I never felt rushed and she spent way too much time with me, which is completely out of the norm for 2026. As someone who works in healthcare with my own patients, I often have to rush from one to another, just to meet the productivity standards set by my employer. Restivo Plastic Surgery is an outlier in today’s healthcare System stretched beyond the capacity to care. I look forward every week to my appointment, where I’m able to share my life and my experiences out in the world. Living alone on Maui, they provide me more than just services and have become like family to me. For anyone researching and considering plastic surgery, GLPs or other procedures, I would highly recommend this all female staff for safety and support. I hope this review will convince someone who’s on the fence, to take a chance and invest in yourself. It’s one of the best decisions I’ve ever made.

-J.B.

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“I visit on a regular basis so I can vouch for excellent staff, professional treatment and a wonderful Doctor who listens. Highly recommend.”

-L.T.

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“I came to Dr. Restivo under very stressful and unexpected circumstances after suddenly developing a severe capsular contracture that required surgery. From the beginning, she made ...”

I came to Dr. Restivo under very stressful and unexpected circumstances after suddenly developing a severe capsular contracture that required surgery. From the beginning, she made an overwhelming situation feel manageable. She took the time to explain everything, walk me through my options, and truly listen to what I wanted.

Her expertise with capsular contracture was incredibly reassuring. She was able to perform a complete capsulectomy and remove the entire capsule, and the results are better than I could have expected. She turned a frightening, stressful situation into an outcome that I am incredibly happy with. What makes Dr. Restivo especially wonderful is how personal her care is. She personally checked on me several times after surgery, and I never felt rushed or like just another patient. Her nurse, Emily, has been kind, friendly, and professional. Gianina, the patient coordinator, is also incredibly nice, helpful, and welcoming, and the entire staff makes you feel genuinely cared for.

I’m so grateful to Dr. Restivo and her whole team for their expertise, compassion, and exceptional care. I couldn’t be happier with my experience or my results.

-F.M.

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“I am so pleased with the outcome of my breast augmentation procedure with Restivo Plastic Surgery. From the moment I met Dr. Terry I was very comfortable. She answered my questions...”

I am so pleased with the outcome of my breast augmentation procedure with Restivo Plastic Surgery. From the moment I met Dr. Terry I was very comfortable. She answered my questions and addressed any concerns I had with patience and understanding. My requests and personal preferences were respected and heard. The fabulous results are a reflection of the care Dr. Restivo took with me and with my unique situation. I fully trust her experience and knowledge combined with her compassion and dedication to help each individual acquire their goal and optimum level of self confidence.

-V.R.

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“Dr. Restivo has lots of hands on experience in the surgical field. She always wants the best results and will go out of her way to do that. Her goal is always excellence, and perfe...”

Dr. Restivo has lots of hands on experience in the surgical field. She always wants the best results and will go out of her way to do that. Her goal is always excellence, and perfection to the highest degree. If anyone is looking for experience, qaulity care and someone focused on getting the best results, Dr. Restivo will be the right choice. We had a very good experience.

-B.P.

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“Beautiful shop and very kind Dr. and staff.”

-L. P.

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“We are lucky to have her here!”

-B. H.

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“Professional, courteous and they do excellent work. I would definitely recommend.”

-A. A.

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“I had a lipoma removed and was very pleased with the work. Minimal scarring.”

-K. U.

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“First timer user, I am grateful for Dr. Restivo's patience and skill in performing the procedure. No pain, all gain.”

-J. H.

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“My favorite doctor on the island”

-A. D.

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“I had a wonderful experience. Considering this was my first time, it wasn't nearly as painful as I thought it would be! Very mild and relaxed during the procedure. Thank you, I'll ...”

I had a wonderful experience. Considering this was my first time, it wasn't nearly as painful as I thought it would be! Very mild and relaxed during the procedure. Thank you, I'll definitely be back

-J. S.

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“Friendly and professional staff, Dr. Restivo is so sweet and excellent technique. I am always happy and recommended without hesitation .”

-G. T.

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“Terry has a gift to know what women need to look the way they want. She asked what I wanted to do, and she suggested something that she said every woman loves so I said okay and wa...”

Terry has a gift to know what women need to look the way they want. She asked what I wanted to do, and she suggested something that she said every woman loves so I said okay and walked out looking 10 years younger! I love her and will go back. Already, I have several friends who saw me and want to see her.

-M. S.

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“Good comunication- very honest ,highly recomended by alot of people , great personality , great work, Dr Restivo makes sure you are happy with the results .mother and i drive from ...”

Good comunication- very honest ,highly recomended by alot of people , great personality , great work, Dr Restivo makes sure you are happy with the results .mother and i drive from Oakland to Napa to get the results we want

-E. M.

5 star rating

“Very professional and attentive staff. Dr. Restivo is also very professional, pleansent and informative. She talked to me about realistic goals , pros and poss . cons as well as co...”

Very professional and attentive staff. Dr. Restivo is also very professional, pleansent and informative. She talked to me about realistic goals , pros and poss . cons as well as cost of procedures.

-A. A.

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“The office is beautiful and all the staff is so friendly and make you feel comfortable. Dr. Restivo pays attention to detail and delivers great results!”

-J. H.

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“I love Dr. Restivo and her staff. They are so warm and she is so knowledgeable and supportive. I'm so glad I found her!”

-E. K.

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“Restivo is the best!!! Alyce really knows her profession and stays up to date on medical products and procedures. The staff are all professional and friendly, very accommodating.”

Restivo is the best!!! Alyce really knows her profession and stays up to date on medical products and procedures. The staff are all professional and friendly, very accommodating.

-S. F.

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“Very clean, welcoming... detailed information on my injury (right hand - fingers) how to care for and what to expect ! Love You Dr Restivo and Staff”

-J. B.

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“Dr Restivo was very professional and empathic. She explained everything I needed in detail. Her clinic is classy and the service at the front was very good.”

-A. L.

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“I have struggled for so long with my weight. Restivo got me on track. the accountability is great. The facility is very nice and the people there are awesome. I can’t say eno...”

I have struggled for so long with my weight. Restivo got me on track. the accountability is great. The facility is very nice and the people there are awesome. I can’t say enough nice things

-J. D.

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“She is best plastic surgeon around I wish she didn't move because I loved having her close by. She is great with fat transfer and can definitely sculpt your body. Make sure to list...”

She is best plastic surgeon around I wish she didn't move because I loved having her close by. She is great with fat transfer and can definitely sculpt your body. Make sure to listen to her because she tells you the truth. She's reallly good with face fat transfer and cheek fat removal.

-L. S.

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“Dr.Restivo was very nice, explained effectively, and quick! The front desk ladies were very kind as well. This is a beautiful office and comfortable environment, i would recommend!”

Dr.Restivo was very nice, explained effectively, and quick! The front desk ladies were very kind as well. This is a beautiful office and comfortable environment, i would recommend!

-A. P.

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“I use my hands a lot as a manual Maitland trained physical therapist and had trigger thumb for months. Got the cortisone injection in the A1 region of the thumb 100% better after 4...”

I use my hands a lot as a manual Maitland trained physical therapist and had trigger thumb for months. Got the cortisone injection in the A1 region of the thumb 100% better after 48 hours. My problem area was identified quickly and accurately

-E. R.

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“The staff here is great! Loved the Dr and how she took time to answer my questions and I didn’t feel rushed or pushed to purchase anything right then. I would highly recommen...”

The staff here is great! Loved the Dr and how she took time to answer my questions and I didn’t feel rushed or pushed to purchase anything right then. I would highly recommend this office and the treatments they have to offer.

-J. C.

5 star rating

“Dr. Terry Restivo is THE BEST plastic surgeon! Our family was visiting Maui and our 20 month old daughter had an emergency which required immediate surgery. We were terrified not k...”

Dr. Terry Restivo is THE BEST plastic surgeon! Our family was visiting Maui and our 20 month old daughter had an emergency which required immediate surgery. We were terrified not knowing how everything was going to turn out. Dr. Restivo, who has decades of experience, calmed our entire family, guided us thru each step, assured us we were in capable and very experienced hands and whisked our baby off to surgery. She not only saved our daughter’s finger by re-attaching it, but she also did it with such precision. This was incredible considering how small of a body part Dr. Restivo had to work with. We also wanted absolute perfection since our daughter works in entertainment and didn’t want her to lose work over a botched finger. We are so happy with the outcome and can’t thank Dr. Restivo enough!!! She is the BEST!

-M. N.

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“Dr Restivo is a kind, honest and not " just out for money". She gave me sound advice even though it would not benefit her. I am very impressed with her.”

-L. Z.

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“Dr. Restivo and Cecilia have been so helpful at the start of my weight loss journey. I am excited to see what we can accomplish together for a healthier, happier me! The office is ...”

Dr. Restivo and Cecilia have been so helpful at the start of my weight loss journey. I am excited to see what we can accomplish together for a healthier, happier me! The office is gorgeous and calming, and the front desk is incredibly helpful as well!

-L. H.

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“Excellent experience! Highly recommend! I haven't had botox done in years simply because I haven't found somebody on Maui, that actually gives you what you do pay for. I was gettin...”

Excellent experience! Highly recommend! I haven't had botox done in years simply because I haven't found somebody on Maui, that actually gives you what you do pay for. I was getting bunk botox, that lasted one week. Look no further. I have found my doctor of choice for my upcoming breast augmentation and all my maintenance services. Mahalo to Doctor Teri and her entire staff.

-A. S.

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“Dr Restivo is a wealth of knowledge! We were worried about our medical needs and she comforted us so well. She did a magnificent procedure and we are so happy with the outcome and ...”

Dr Restivo is a wealth of knowledge! We were worried about our medical needs and she comforted us so well. She did a magnificent procedure and we are so happy with the outcome and her professionalism. The office is very clean and the staff is friendly and fun. We recommend this office.

-S. S.

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“Dr. Terry Restivo is a gem! Very professional, honest, and approachable, which is so comforting. Her office manager Gia made me feel welcomed, and at ease as well. Consider me a li...”

Dr. Terry Restivo is a gem! Very professional, honest, and approachable, which is so comforting. Her office manager Gia made me feel welcomed, and at ease as well. Consider me a lifetime patient at Restivo Plastic Surgery! 

-T. H.

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“Dr Restivo’s clinic is top notch in all ways . The customer service is a 10 from the time you walk into the office with reception , to your time spent with Dr Restivo . Dr Re...”

Dr Restivo’s clinic is top notch in all ways . The customer service is a 10 from the time you walk into the office with reception , to your time spent with Dr Restivo . Dr Restivo makes sure she spends time with you which is so important and to really listen to you the patient . I would highly recommend this clinic for all your cosmetic needs .

-J. P.

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“Dr. Restivo and her team are of the utmost professional on the island of Maui. I will never go anywhere else! Dr. Restivo is not only kind, caring, and passionate in her field, but...”

Dr. Restivo and her team are of the utmost professional on the island of Maui. I will never go anywhere else! Dr. Restivo is not only kind, caring, and passionate in her field, but she stands behind her work and products with dignity and professionalism. I have ALWAYS been MORE THAN satisfied when I leave her office! Highly recommended.

-N. W.

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“I'm absolutely THRILLED with the results! This was my third time visiting the very elegant Restive Plastic Surgery in Wailea. Every time I return, I experience a high level of prof...”

I'm absolutely THRILLED with the results! This was my third time visiting the very elegant Restive Plastic Surgery in Wailea. Every time I return, I experience a high level of professionalism in luxurious comfort. Dr. Restivo exudes expertise and experience, resolving my minor issues each time in a single visit. I highly recommend RPS to anyone looking for plastic surgery that's BEST IN CLASS!

-M. B.

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“I went to Dr Restivo Plastic Surgery for a consultation. Dr. Restivo was both lovely and extremely professional. It turned out that she didn’t think the procedure that I had ...”

I went to Dr Restivo Plastic Surgery for a consultation. Dr. Restivo was both lovely and extremely professional. It turned out that she didn’t think the procedure that I had come to see her about was really what I needed. She gently referred me to trusted dermatology colleagues and said I could reach out to her later for a follow-up or any other procedure that was appropriate. I know surgeons love to cut and sew, but she only had my best interests at heart I trust her.

-M. M.

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“Dr. Restivo is the best! She gives great advice, I am extremely happy with the neurotoxins I have had done at her office. I also did their weight loss program and felt heard every ...”

Dr. Restivo is the best! She gives great advice, I am extremely happy with the neurotoxins I have had done at her office. I also did their weight loss program and felt heard every step of the way. The office staff is amazing and attentive.

-T. T.

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“I’m so grateful to Dr. Restivo and her team! I was very apprehensive and nervous to have a procedure done on my hand. The minute I walked into the office I felt at ease. Dr. ...”

I’m so grateful to Dr. Restivo and her team! I was very apprehensive and nervous to have a procedure done on my hand. The minute I walked into the office I felt at ease. Dr. Restivo is a wonderful and welcoming person. She was very thorough and addressed all my concerns. My procedure went smoothly and I couldn’t have asked for a better experience. Mahalo!

-E. H.

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“I'm so happy I found Dr Restivo. She's genuinely are about their Patients. Very friendly and approachable. Dr Restivo was very helpful in helping me decide on the best way forward ...”

I'm so happy I found Dr Restivo. She's genuinely are about their Patients. Very friendly and approachable. Dr Restivo was very helpful in helping me decide on the best way forward for my treatment.

-K. J.

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“This is my first time to Restive Plastic Surgery, Inc. which was recommended by my hairdresser. Terry was awesome. She gave me a thorough explanation about my service. I appreciate...”

This is my first time to Restive Plastic Surgery, Inc. which was recommended by my hairdresser. Terry was awesome. She gave me a thorough explanation about my service. I appreciated it. The receptionist, Gia, was kind and helpful. I left feeling confident and I look forward to my next service.

-C. H.

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“I fell hiking in the lava rocks in Makena. Dr Restivo office found a time window for the Doctor to evaluate whether or not needed stitches, which I did. She explained the entire pr...”

I fell hiking in the lava rocks in Makena. Dr Restivo office found a time window for the Doctor to evaluate whether or not needed stitches, which I did. She explained the entire process and the wound follow up care. She is terrific!

-K. E.

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“Best plastic surgery office in the world. When you have a traumatic experience in life and you need help, this is the place to go. I had such an amazing experience here and I'm so ...”

Best plastic surgery office in the world. When you have a traumatic experience in life and you need help, this is the place to go. I had such an amazing experience here and I'm so grateful for Dr. Restivo and her team. From the moment I walked in, I felt at ease and felt like I was in a beautiful spa full of kind and loving people. The office is gorgeous and immaculately clean. Dr. Restivo has such delicate hands and her patience and skill are apparent in everything she does. When she numbed me up, she made sure that I was comfortable and I couldn’t even feel it! It was the most painless surgery I’ve ever experienced. I was impressed with Dr. Restivo‘s attention to detail and making sure every thing she did was perfect and every suture was perfectly placed. She gave me clear post operative instructions and made sure I left her office feeling good. The most amazing part is that she does everything from major surgeries to minor surgeries to cosmetic treatments and weight loss. I could see that all of her patients in her office were very happy to see her and eager to continue their care with her. Thank you for creating such an incredible team. I am forever grateful.

-S.

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“Dr. Restivo is excellent. She’s extremely knowledgeable, skilled, & artistically gifted. She’s uniquely honest direct & compassionate.”

-L. E.

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“I couldn’t be happier with my results! My lips look absolutely amazing—natural, full, and perfectly shaped. I’ve had compliments nonstop, and I finally feel like ...”

I couldn’t be happier with my results! My lips look absolutely amazing—natural, full, and perfectly shaped. I’ve had compliments nonstop, and I finally feel like my lips match the look I always dreamed of. Truly the best experience ever—highly recommend!

-R. B.

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Why Choose Restivo Plastic Surgery?

At Restivo Plastic Surgery, gynecomastia surgery is guided by judgment, experience, and respect for patient priorities. This is supported by broad surgical training and a philosophy that values clarity over volume.

A Surgeon’s Understanding of Male Anatomy

Dr. Restivo’s training in both general and plastic surgery supports thoughtful evaluation of chest anatomy, skin quality, and tissue composition, allowing surgical plans that prioritize proportion, function, and natural appearance.

Straightforward, Ethical Recommendations

Consultations are education-first and pressure-free. Patients receive honest guidance about what surgery can address, what it cannot, and whether timing or alternative approaches make more sense.

Results Designed to Blend In

Patients choose Restivo Plastic Surgery for gynecomastia surgery in Hawaii because outcomes are intended to look natural and unremarkable in daily life. Long-standing patient trust across Hawaii informs every recommendation. Care remains discreet, consistent, and patient-centered.

Recovery and Healing

Recovery varies depending on the extent of tissue removal and individual healing response. Most patients experience swelling, bruising, and chest tightness during early healing.

Activity restrictions are discussed clearly, with a gradual return to exercise over time. Compression garments may be recommended to support contour and swelling reduction. Dr. Restivo provides ongoing guidance throughout recovery.

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Results Over Time

Initial improvements are visible once swelling begins to subside, with refinement continuing over several months. Final results depend on healing, skin elasticity, and adherence to post-operative guidance. When underlying tissue is addressed appropriately, results are typically durable.

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Frequently Asked Questions Gynecomastia Surgery

What causes gynecomastia?

Gynecomastia may result from hormonal changes, medications, weight fluctuations, or genetics. In many cases, multiple factors contribute to excess chest tissue.

Will scars be visible?

Incisions are placed carefully to minimize visibility. Scar appearance varies and improves gradually over time with proper healing.

Can gynecomastia return after surgery?

Recurrence is uncommon when glandular tissue is removed, though significant weight gain or hormonal changes may affect chest appearance.

Can gynecomastia surgery be combined with other procedures?

In some cases, gynecomastia surgery may be combined with liposuction, VASER liposuction, or body contouring procedures when appropriate. This is discussed during consultation.

Is gynecomastia surgery safe?

Gynecomastia surgery is generally safe when performed by an experienced surgeon. Risks and considerations are reviewed thoroughly before proceeding.

Schedule Your Consultation for Gynecomastia Surgery in Hawaii

Schedule a consultation with Dr. Restivo to discuss gynecomastia surgery in Hawaii and receive clear, individualized guidance focused on alignment, discretion, and confident decision-making.

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