Grade 1Non-surgical path18-24
Soft tissue, 40 lb drop — surgery never needed.
Heavier buildSoft / pseudo


“I assumed I needed surgery. Turned out forty pounds and patience did most of the job.”
Mostly soft tissue with a small firm component. Lost forty pounds across fourteen months on a structured plan. Chest leaned out alongside the rest of the body. No surgical consult needed.
What happened
Calorie deficit + 3x/week strength work. No PEDs. Chest responded in tandem with overall body fat.