Board-Certified · Dr. Rocco C. Piazza II

Gynecomastia Surgery in Austin — Restore a Masculine Chest.

Removes excess glandular tissue and fat for a flat, masculine chest contour — a 1–2 hour outpatient procedure with minimal, well-concealed scarring, performed personally by Dr. Rocco Piazza.

Board-Certified ABPS Financing Plans Available
American Board of Plastic Surgery The Aesthetic Society American Society of Plastic Surgeons Fellow, American College of Surgeons Austin Society of Plastic Surgery

Take the First Step

Ready to Talk Through Your Options?

Meet Dr. Piazza, discuss your goals, and receive a personalized treatment plan — no obligation, no pressure.

4.9 · 270+ Google Reviews Board-Certified ABPS Responds Within 1 Business Day
  • Every procedure personally performed by Dr. Piazza
  • Financing available through Cherry, CareCredit, and PatientFi
  • Private consultation with no obligation or pressure
Dr. Rocco C. Piazza II

Dr. Rocco C. Piazza II, MD, FACS — board-certified plastic surgeon performing procedures at Austin’s accredited Inspire Surgery Center, one patient at a time.

American Board of Plastic Surgery The Aesthetic Society American Society of Plastic Surgeons Fellow, American College of Surgeons Austin Society of Plastic Surgery
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Why Patients Choose Dr. Piazza

Discreet, Compassionate Care. Personally Performed.

Gynecomastia can be caused by hormonal imbalances, medications, or genetics — and Dr. Piazza treats it with a confidential, compassionate approach. Incisions are strategically placed around the areola or in the chest's natural creases to minimize visible scarring, restoring a firmer, more masculine chest contour.

Why Patients Choose This Procedure

What to Expect From Gynecomastia Surgery

Procedure

1–2 Hour Outpatient

Removes excess glandular tissue and fat for a flat, masculine chest contour in a single outpatient visit.

Scarring

Minimal & Well-Concealed

Incisions are strategically placed around the areola or in natural chest creases to minimize visibility.

Causes

Hormonal, Genetic, or Lifestyle

Gynecomastia can stem from hormonal imbalances, medications, genetics, or lifestyle factors — discussed at your consultation.

Privacy

Confidential Consultations

Every consultation is private and discreet, with compassionate, judgment-free care from start to finish.

Real Results

Real Patients. Real Results.

Shown with documented patient consent. Individual results may vary.

My job as a surgeon is to help you decide which approach will help you reach your desired aesthetic outcome.

Dr. Rocco C. Piazza II Dr. Rocco C. Piazza II MD, FACS

The Process

Your journey, step by step.

What Patients Are Saying

Real reviews, verified on Google.

★★★★★ 4.9 out of 5 · 270+ Google Reviews
★★★★★
“"Life changing" is simply the best way to describe my experience with Dr. Piazza. He was the first surgeon who confidently and immediately knew the plan to correct issues from a prior procedure elsewhere.”
GGoogle Review · April 2026
★★★★★
“I could not be happier with the results from my procedure with Dr. Piazza. I have very high standards, and my expectations were exceeded. The entire process was seamless from consultation to surgery center.”
GGoogle Review · March 2026
★★★★★
“Dr. Piazza and his team at The Piazza Center are the absolute best in the game. From start to finish, the experience far exceeded my expectations. The entire staff is warm and welcoming.”
GGoogle Review · September 2025
★★★★★
“I had Motiva Preservé breast augmentation with Dr. Piazza and the results exceeded my expectations. I was terrified to end up with a breast that looked fake like so many others — that never happened.”
GGoogle Review · December 2025
★★★★★
“I've had a lip flip, Botox, and fillers, and I couldn't be happier with the outcomes. The team is incredibly professional and friendly, making sure you feel comfortable with your results and decisions.”
GGoogle Review · August 2025
★★★★★
“This was my 3rd time getting injectables and the first two locations didn't do a great job. I told April what I wanted and she listened. It's been 2 weeks and I am so happy with my results.”
GGoogle Review · September 2025
★★★★★
“I have been seeing Kari at The Piazza Center for years and I cannot recommend her enough. I've been to 2 other places in Austin to get microneedling and have not seen the results I get from Kari.”
GGoogle Review · February 2026
★★★★★
“I cannot recommend Dr. Piazza and his team enough. Even the initial consultation can be nerve-racking, but from the moment I stepped foot in the office, I felt peace with my decision to go there.”
GGoogle Review · November 2025
★★★★★
“I couldn't be happier with my experience with Dr. Piazza and his team. I came in for a breast augmentation and lift, and not only did Dr. Piazza listen carefully to what I wanted, but he truly understood what I was going for.”
GGoogle Review · a year ago
★★★★★
“I've been going to The Piazza Center for years — Dr. Piazza did my breast augmentation and it was, hands down, one of the best decisions I ever made and only wish I had done it years earlier.”
GGoogle Review · a year ago
★★★★★
“I couldn't be happier with my decision to choose Dr. Piazza and his team for my breast augmentation. If you are searching for a surgeon, look no further! He is incredible at what he does and he has an incredible team.”
GGoogle Review · October 2025
★★★★★
“I just had breast implants replaced and lift and was totally impressed with the high quality patient care from beginning to end. The time Dr. Piazza and staff spend with patients makes you feel safe and comfortable.”
GGoogle Review · a year ago
★★★★★
“I had a breast augmentation done by Dr. Piazza; not only do I love my results, but the level of care involved made the whole experience memorable.”
GGoogle Review · a year ago
★★★★★
“I had a breast augmentation performed by Dr. Rocco Piazza at The Piazza Center in Austin, TX, and I couldn't be happier with my experience. From the very first consultation, Dr. Piazza was incredibly patient and kind.”
GGoogle Review · a year ago
★★★★★
“I recently had a procedure done at The Piazza Center, and I can't recommend it enough! My nurse, April, was absolutely amazing. She truly took the time to listen to me and made sure I felt comfortable every step of the way.”
GGoogle Review · a year ago
★★★★★
“I see April on a regular basis for injectables and she is amazing. She is all about the details. Dr. Piazza is wonderful too — very sweet and loves his job.”
GGoogle Review · a year ago
★★★★★
“I recently had the pleasure of having an incredible facial with Kari at The Piazza Center. My husband, who rarely notices, said "your face is glowing, what did you do?"”
GGoogle Review · a year ago
★★★★★
“I never leave reviews, but after my experience with The Piazza Center, I wanted to show some appreciation to the people that have transformed my body and given me the body that I feel confident in.”
GGoogle Review · a year ago
★★★★★
“I had abdominal surgery done, and Dr. Piazza exceeded all my expectations. From the beginning, he and his team were incredibly warm, professional, and attentive.”
GGoogle Review · a year ago
★★★★★
“The Piazza Center offers the utmost professionalism while sharing their upbeat culture and knowledge of the beauty industry.”
GGoogle Review · 3 years ago
★★★★★
“I had an amazing experience from start to finish with Dr. Piazza and his team. He uses some super innovative techniques and I found my recovery time was super short. I feel like a million bucks.”
GGoogle Review · October 2025
★★★★★
“Finding a surgeon that was elite in their work, but also really listened to my needs was a must when I was researching doctors.”
GGoogle Review · a year ago
★★★★★
“The Piazza Center for Plastic Surgery and Advanced Skin Care is a jewel in the Austin area. The staff here is always extremely cordial and professional.”
GGoogle Review · a year ago
★★★★★
“I am very thankful that I chose The Piazza Center for my surgery. Dr. Piazza and his team offered top notch care from my very first phone call to their office to my ongoing aftercare.”
GGoogle Review · 3 years ago
★★★★★
“The Piazza Center is world class in my opinion — from the moment you walk in the doors you feel at home and so comfortable. The facility is beautiful and inviting, and everyone there is so nice!”
GGoogle Review · 2 years ago

Getting Started

Frequently Asked Questions

Gynecomastia can be caused by various factors, including hormonal imbalances, certain medications, underlying medical conditions, genetics, and lifestyle factors such as diet and exercise habits.

Yes, gynecomastia surgery is generally considered safe when performed by a qualified and experienced board-certified plastic surgeon. Risks and potential complications are discussed with you during your consultation.

Gynecomastia surgery typically involves incisions around the areola or in the natural creases of the chest. While some scarring is inevitable, incisions are strategically placed to minimize visibility.

Ready When You Are

See What's Possible.

A private consultation with Dr. Piazza — no obligation, financing options reviewed on the spot.

Schedule My Consultation or call (512) 288-8200