Grade 3 and Grade 4 Gynecomastia is characterized by sagging of the male breast. To resolve the skin sagginess, Mastopexy is performed. At Evita Clinic we perform two types of Mastopexy according to the kind of Incision – Areolar type and Anchor type. The Areolar Incision is ideal for Grade 3 Gynecomastia patients and the Anchor type is for Grade 4 Gynecomastia. But the type of Incision that will be performed will depend on the patient’s age, concern about the scar and preference.