Gynecomastia can come in all shapes and sizes, from being barely
noticeable to something painful and virtually impossible to hide. Most grading
systems rate the severity of the condition from 1 to 4, with 4 being the most
severe, while others use a more granular approach, adding 2 or even 3 extra
levels of severity.
Type 1
Type 1 gynecomastia produces puffy nipples, and is more common
among men with a leaner build. Surgery is performed under local anesthesia.
Type 2
Approximately 90% of excess glandular tissue in Type 2 patients
can be removed through surgery. Liposuction may also be performed.
Type 3
In Type 3 cases, the breasts protrude from the chest at a 45-60
degree angle. Surgery is required to remove the excess tissue.
Type 4
Type 4 gynecomastia is characterized by sagging skin and breast
tissue protruding from the chest at an angle of 60-90. Surgery is performed to
remove the excess breast tissue, and also to excise the excess skin due to
chest sag.
Type 5
Sagging breast tissue that falls below the chest fold is
tightened through a procedure known as the “anchor lift.” Excess skin
requires surgical removal.
Type 6
Type 6 is characterized by extreme sag of the breast tissue that
falls below the chest fold, extending under the armpits and towards the patient’s
back. Surgical removal and liposuction are required to flatten the breast
and remove fatty deposits.
Type 7
This is the most extreme stage of
gynecomastia, with severe sagging and noticeable volume in the breast. Surgical removal of excess breast tissue is required.
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