Gynecomastia is organized into four grades based on severity. Understanding yours can make all the difference in choosing the right treatment.
At Hamptons Plastic Surgery, board-certified plastic surgeon Dr. Tracy Pfeifer offers gynecomastia surgery in a compassionate, judgment-free environment. With decades of experience, she is a trusted choice for men looking for natural, long-lasting results.
The Four Grades of Gynecomastia
Doctors use the Simon Classification system to rank gynecomastia cases from mild to severe. Each level reflects the amount of glandular tissue, the extent of skin laxity, and the change in breast size.
Grade 1: Mild Enlargement Without Skin Excess
Grade one is characterized by:
- Slight swelling or puffiness around the nipple
- No noticeable excess skin
This type is most common in teens during puberty. It is often treated with liposuction or non-surgical options.
Grade 2: Moderate Enlargement Without Skin Excess
Men with grade two gynecomastia may have:
- A broader chest area, but the skin is still firm
- More prominent glandular tissue
Grade two sometimes affects shirt fit or self-esteem. Surgery generally involves liposuction and gland excision.
Grade 3: Moderate Enlargement With Minor Skin Excess
Grade three gynecomastia includes more significant changes, such as:
- A more noticeable breast shape
- Some sagging of the skin
The increased symptom severity often causes social discomfort or avoidance of certain clothing. A surgical approach may include skin tightening.
Grade 4: Severe Enlargement With Significant Skin Excess
The most severe type, grade four, leads to:
- A feminized breast appearance
- More pronounced sagging and stretched skin
This grade most often requires excision of both glandular tissue and excess skin. It can restore a flatter, firmer chest.
Explore Surgical Options and Increase Your Confidence
Knowing your gynecomastia grade is the first step toward reclaiming your well-being.
At Hamptons Plastic Surgery in Quogue, Dr. Pfeifer creates customized treatment plans for every patient. Her breast-focused background and elite training ensure quality care and unmatched results.
To learn more, call (631) 653-6112 and schedule a consultation today.