Gynecomastia Grades
Gynecomastia Grades: How to Identify and Treat Each Stage
Gynecomastia can be classified into four grades, each with its own set of symptoms and treatment options.
Learn how to identify and treat each stage with this guide.
Gynecomastia Grades - Assessing the severity
Gynecomastia grade is a medical tool used by plastic surgeons to assess the severity of Gynecomastia. The seriousness of Gynecomastia refers to the extent or degree of breast enlargement in males. Gynecomastia can range from mild to severe, and the severity can impact the complexity of the surgical procedure and consequently affect the cost.
The most commonly used grading system is based on the Simon classification, which includes the following grades:
Grade 1 Gynecomastia
- The breast enlargement is mild
- The contour of the chest is relatively normal
- The excess tissue is localized to a small, disc-shaped area below the areola.
Grade 2 Gynecomastia
- Moderate breast enlargement with slightly more glandular tissue
- The chest contour may appear less masculine due to increased fullness in the breast area.
Grade 3 Gynecomastia
- More pronounced breast enlargement, with excess glandular tissue extending beyond the areola.
- The chest may have a feminine appearance with noticeable sagging and increased breast prominence.
Grade 4 Gynecomastia
- Severe breast enlargement, excess glandular tissue, and sagging of the breasts.
- The chest contour can resemble the female breast.
Take Away: The grading helps the surgeon assess the severity of Gynecomastia and determine the most appropriate treatment approach, whether it involves liposuction, gland excision, skin tightening, or a combination of techniques. More severe cases may require additional procedures and a longer recovery period.
Age :
Treatment :
28 Years
Liposuction and Gland Removal
Why Gynecomastia Surgery is Safe at Medini?
Surgeon Credentials
- Dr M. Shridharan is a Board certified plastic surgeon holding MCh(Plastic Surgery) degree.
- He is having more than 20 years of experience in performing cosmetic surgeries
Hospital Setup
- Surgeries are performed in Hospital setup with ICU Facilities. Surgeries are not done in Cosmetic centres.
Symptoms of Gynecomastia as per grades
Grade 1 Gynecomastia Symptoms
- The breast may have a slightly puffy or glandular appearance.
- It may be more noticeable when the chest is bare or when wearing tight-fitting clothing.
- Mild discomfort or tenderness in the breast area
- They feel embarrassed or insecure about their chest appearance.
Grade 2 Gynecomastia Symptoms
- The breasts may appear more prominent and have a noticeable volume increase.
- The breasts may have a more rounded or protruding appearance.
- The skin around the breasts may appear stretched or loose.
- The nipples and areolas may become enlarged and may appear puffy or protruding
- Soft or Rubber-like Texture to the touch due to the increase in glandular tissue.
- It causes feelings of self-consciousness, embarrassment, or lowered self-esteem.
Grade 3 Gynecomastia Symptoms
- The breasts are noticeably larger, and there is a significant increase in volume.
- Pronounced Breast Fullness with bulging or protruding appearance.
- The skin may appear stretched, loose, or hanging, contributing to a more feminine breast appearance.
- The nipples and areolas are usually enlarged and may be puffy or protruding. The areolas may also darken in color and become more stretched due to breast enlargement.
- Firmer Texture of the breast due to the increased amount of glandular tissue and potential fibrosis.
- It causes emotional distress, self-consciousness, and a negative body image. It may affect confidence and quality of life.
Grade 4 Gynecomastia Symptoms
- Marked Breast Enlargement, and there is a substantial increase in volume.
- Excessive Breast Fullness with the bulging appearance of the breasts. The chest contour resembles female breasts.
- Excess Skin or Sagging of the breast tissue
- The nipples and areolas may be greatly enlarged and may protrude significantly. They may also darken in color and become stretched due to the excessive breast tissue.
- It causes emotional distress, severe self-consciousness, and a negative body image. It can affect self-esteem, confidence, and overall quality of life.
Take Away: The results and cost of the surgery mainly depend upon the severity of Gynecomastia. The larger the grade of Gynecomastia, the more combined procedures are required, which ultimately increases the cost of the procedure.
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Types of Gynecomastia
Gynecomastia can be classified into different types based on its characteristics and underlying causes. Here are the common types of Gynecomastia:
- Physiologic Gynecomastia
- occurs due to normal hormonal changes during certain life stages.
- commonly seen during infancy, adolescence (pubertal Gynecomastia), and in older age.
- It is usually temporary and tends to resolve independently without treatment.
- Adolescent Gynecomastia
- gynecomastia that develops during puberty.
- a common occurrence in males during adolescence due to hormonal fluctuations.
- resolves within a few months to a few years without intervention.
- Pseudogynecomastia (Lipomastia)
- characterized by an excess accumulation of fat in the breast area without glandular enlargement
- caused by excess body fat.
- Weight loss and lifestyle changes, such as regular exercise and a healthy diet, often reduce pseudogynecomastia.
- Drug-Induced Gynecomastia
- Some medications and substances can cause Gynecomastia as a side effect.
- Medications such as anti-androgens (e.g., spironolactone), anabolic steroids, and certain antidepressants cause Gynecomastia.
- Discontinuing or adjusting the medication regimen helps to resolve drug-induced Gynecomastia.
- Endocrine Disorders
- Endocrine conditions such as hypogonadism (low testosterone), hyperthyroidism (overactive thyroid), and chronic kidney or liver disease cause Gynecomastia.
- Treating the underlying hormonal imbalance or managing the underlying condition may help improve Gynecomastia.
- Unilateral Gynecomastia
- Breast enlargement affects only one breast.
- occur due to various causes, including hormonal imbalances, medications, or localized conditions such as breast cysts or tumors.
- In cases of unilateral Gynecomastia, further evaluation, such as scanning and possibly biopsy, may be necessary to rule out any underlying pathology like breast cancer.
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Importance and Significance of Gynecomastia grading
Gynecomastia grading is an important tool used by medical professionals to assess the severity and determine the appropriate treatment approach for Gynecomastia.
The grading system allows for a standardized evaluation of Gynecomastia and provides valuable information for diagnosis and treatment planning.
Here are the key importance and significance of gynecomastia grading:
1. Diagnosis: Gynecomastia grading helps establish an accurate diagnosis.
2. Treatment planning: The grading system determines the appropriate treatment strategy for Gynecomastia.
3. Communication and documentation: The grading system allows for clear and consistent communication among plastic surgeons
4. Research and clinical studies: Gynecomastia grading helps evaluate the effectiveness of various interventions, monitor treatment progress, and identify factors that influence the severity and progression of Gynecomastia.
5. Patient education and counseling: By explaining the severity of Gynecomastia using a grading system, healthcare professionals can educate patients about the treatment options available and discuss the potential outcomes and expectations. It empowers patients to make informed decisions and actively participate in their treatment plans.
Take Away: Gynecomastia grading is significant in diagnosing Gynecomastia accurately, planning appropriate treatment strategies, facilitating communication and documentation, supporting research and clinical studies, as well as educating and counseling patients. It serves as a valuable tool for both healthcare professionals and patients involved in the management of Gynecomastia.
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Gynecomastia Treatment as per Gynecomastia Grades
Gynecomastia grades are a medical tool used extensively by plastic surgeons to assess the severity of the disease; hence, they help plan the treatment. Individuals with Gynecomastia are more psychologically disturbed. Apart from the physical problem of the presence of breasts in the chest region, they feel depressed and lose confidence mostly because of the awkward appearance of the chest. Hence, any patient bothered about the appearance and shape of the chest needs treatment.
The gland is predominantly more developed in grade 1 and grade 2 gynecomastia. In grade 3 and grade 4 gynecomastia, apart from the development of the gland, there is also fat deposition in the chest, giving the appearance of female breasts. Hence, the treatment options are for grade 1 and grade 2 Gynecomastia; gland removal is sufficient. Apart from gland removal, even liposuction needs to be combined to improve the aesthetic appearance of the chest in both grade 3 and grade 4 gynecomastia.
| Gynecomastia Grades | Treatment |
|---|---|
| Grade 1 gynecomastia& Grade 2 Gynecomastia | Gland removal is sufficient |
| Grade3 gynecomastia& Grade 4 Gynecomastia | Liposuction + Gland removal |
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Grade 1 Gynecomastia Before After Gallery
All gynecomastia photos are of patients who consent to their images being published on this site. All patients have been operated on at Medini Cosmetic Centre. No claims are made that results are guaranteed to be the same. Results will vary by the individual patient, and no guarantees are made. Images are shown for informational purposes only.
Grade 1 Gynecomastia Before After - 22- Year-Old Male
- Individual results may vary. Photos and testimonials do not constitute a guarantee of any particular outcome.
A 22-year-old male was suffering from grade 1 gynecomastia. He was uncomfortable in a bare chest, and nipples were showing out in tight-fitting garments. He lost self-confidence and was upset.He postponed surgery because he worried about side effects. He consulted Medini Cosmetic Surgery Centre for treatment options. He was counseled and assured that surgery was not required for him. But he is particular about making his chest flat. Gland removal was done for him; these are the pictures the day after surgery. He is happy with the result.
Age:
Weight:
Height:
Gender:
22 Year
70 Kg
5’5″
Male
Anesthesia:
Area(s):
Liposuction Type:
Surgery Duration:
General Anesthesia
Gynecomastia
Gland excision
45 Minutes
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Grade 1 Gynecomastia Before After - 19- Year-Old Male
- Individual results may vary. Photos and testimonials do not constitute a guarantee of any particular outcome.
This gentleman, 19 years old, finds it inconvenient to wear T-shirts. He feels embarrassed in swimming pools when he wants to remove the shirt. He wants to improve his lifestyle and hence decided for surgery. Gland removal was done to make the chest flat. He is happy with the result.
Age:
Weight:
Height:
Gender:
19 Year
60 Kg
5’6″
Male
Anesthesia:
Area(s):
Liposuction Type:
Surgery Duration:
General Anesthesia
Gynecomastia
Gland excision
45 Minutes
Grade 1 Gynecomastia Before After - 25- Year-Old Male
- Individual results may vary. Photos and testimonials do not constitute a guarantee of any particular outcome.
A 25-year-old male was suffering from Grade 1 gynecomastia for 10 years. He is lean and thin built. Whenever he removes his shirt, he notices puffy nipples, and that disturbs his confidence levels. He researched over the internet and then decided on surgery. A small disc-shaped swelling is present just beneath the nipple, which is causing the puffy nipples. Through a small cut in the nipple region, the gland was removed, and the Puffy nipple disappeared.
Age:
Weight:
Height:
Gender:
25 Year
70 Kg
5’7″
Male
Anesthesia:
Area(s):
Liposuction Type:
Surgery Duration:
General Anesthesia
Gynecomastia
Gland excision
45 Minutes
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Grade 1 Gynecomastia Before After - 23- Year-Old Male
- Individual results may vary. Photos and testimonials do not constitute a guarantee of any particular outcome.
A 23-year-old male software engineer by profession wants to keep his body very thin. He did strict dieting and lost almost 20 kgs. Now, he appears emaciated and thinly built. A small disc-shaped gland tissue is present beneath the nipple and gives the appearance of puffy nipples. He was not happy and wanted to improve his chest appearance. The gland was removed through a small cut in the nipple region. He was delighted with the result.
Age:
Weight:
Height:
Gender:
23 Year
61 Kg
5’6″
Male
Anesthesia:
Area(s):
Liposuction Type:
Surgery Duration:
General Anesthesia
Gynecomastia
Gland excision
45 Minutes
Grade 1 Gynecomastia Before After - 27- Year-Old Male
- Individual results may vary. Photos and testimonials do not constitute a guarantee of any particular outcome.
27-year-old Male working as a Sub Inspector in the police department. He finds the nipples are puffy and protruding through the tight clothes when he goes to parties. He did exercise, but it did not help. Ultimately, he decided to have surgery. A small amount of gland beneath the nipple, which was extending even to the surrounding breast region. The gland was removed through a keyhole surgery. He is happy with the result.
Age:
Weight:
Height:
Gender:
27 Year
65 Kg
5’5″
Male
Anesthesia:
Area(s):
Liposuction Type:
Surgery Duration:
General Anesthesia
Gynecomastia
Gland excision
45 Minutes
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Grade 1 Gynecomastia Before After - Images of our patients
These are the images of our patients who had gynecomastia surgery in our center. These photos are unretouched except for a few blurring of faces and tattoos to preserve identity. The after-surgery images were taken the next day following surgery. We encourage you to review our Gallery to see the exceptional results we can offer.
Get inspired by our before and after gynecomastia gallery, with photos from Medini Cosmetic Surgery patients! Please browse through the Gallery below to understand what results Medini Centre has delivered to their patients.
Check this Gallery for more Gynecomastia Grade 1 Photos
- Individual results may vary. Photos and testimonials do not constitute a guarantee of any particular outcome.
FAQ on Gynecomstia Grades
There is no guarantee that it will resolve completely without intervention. Gynecomastia that develops during puberty may resolve within few years as hormone levels stabilize. However, surgical intervention is considered if grade 1 gynecomastia persists or causes significant distress as they will not disappear on its own. Gland removal is advised through a keyhole approach.
Yes, Grade 2 Gynecomastia is completely curable by surgery. Procedures such as liposuction and surgical removal of the excess breast tissue (mastectomy) are commonly performed. These surgical procedures aim to remove the enlarged glandular tissue and reshape the chest to achieve a more masculine contour.
The natural regression of Gynecomastia depends upon the cause of the condition, as in pubertal Gynecomastia.However, it’s important to note that Gynecomastia may not naturally regress or shrink in all cases. If Gynecomastia persists, surgical interventions, such as liposuction or removal of the excess breast tissue, need to be considered.
The answer is NO. Gynecomastia caused mainly by excess fat deposition (pseudo-Gynecomastia) may be responsive to exercise and weight loss. Remember that exercise alone may have a limited impact on glandular tissue enlargement, which is the primary characteristic of Gynecomastia.