The Four Grades of Gynecomastia and Treatment Options

Gynecomastia is a common condition in men that results in the enlargement of breast tissue, often due to hormonal imbalances, genetics, medications, or weight fluctuations. At Azouz Plastic and Cosmetic Surgery in Dallas, TX, board-certified plastic surgeon Dr. Azouz specializes in custom gynecomastia procedures tailored to each patient’s anatomy and goals.

Understanding the four grades of gynecomastia is essential to determining the best treatment plan. Each grade represents a different severity level and requires a slightly different surgical approach.

Grade I Gynecomastia: Mild Enlargement Without Excess Skin

Grade I is the mildest form of gynecomastia. It involves a small amount of glandular tissue localized behind the nipple without excess skin. The chest may look slightly puffy, especially when shirtless, but the contour remains mostly flat.

Treatment:

• Liposuction is typically sufficient for Grade I cases.
• A small incision is made near the chest, and Dr. Azouz uses a custom cannula to suction excess fat.
• If glandular tissue is present, a minor excision through the areola may be added.

Grade II Gynecomastia: Moderate Enlargement Without Skin Excess

In Grade II, the chest exhibits more prominent breast tissue, giving a fuller, more noticeable appearance. However, the skin remains tight and does not sag.

Treatment:

• Dr. Azouz often recommends a combination of liposuction and glandular excision.
• Liposuction shapes the chest and removes fat.
• Excision removes the firm glandular tissue through a small, discreet incision around the areola.
• This combination results in a flattened, masculine chest contour.

Grade III Gynecomastia: Moderate to Severe Enlargement With Skin Excess

Grade III gynecomastia includes both significant breast enlargement and mild to moderate skin excess. The chest takes on a more breast-like shape, and sagging becomes apparent.

Treatment:

• Dr. Azouz performs liposuction and more extensive glandular excision.
• He may also remove excess skin through carefully placed incisions to avoid visible scarring.
• The position and size of the areola can be adjusted for symmetry and a natural look.
• This approach allows for effective reshaping of the chest and improved definition.

Grade IV Gynecomastia: Severe Enlargement With Excess Skin

In Grade IV, the chest resembles female breasts due to large volumes of tissue and significant skin laxity. Areolas may appear stretched or mispositioned.

Treatment:

• This stage typically requires a comprehensive surgical approach.
• Dr. Azouz uses liposuction, excision, and skin removal techniques to restore a flat chest.
• The areola is resized and repositioned to suit the new chest contour.
• Dr. Azouz’s experience ensures scars are hidden whenever possible.

Customized Treatment for Every Patient

The extent and process of gynecomastia surgery vary depending on your body, goals, and severity of the condition. Dr. Azouz provides a personalized surgical plan, taking the time to assess your gynecomastia grade, skin quality, and ideal outcome.

He combines liposuction and precise excision to remove both excess fat and glandular tissue, reshaping the chest for a more masculine, natural appearance. His custom technique ensures minimal visible scarring and quick recovery times.

Why men across the country choose Dr. Azouz:

• Board-certified with decades of experience
• Specializes in male chest contouring procedures
• Offers custom liposuction cannulas for enhanced results
• Prioritizes natural aesthetics and discreet scarring
• Trusted by patients from across Dallas, Texas, and beyond

Schedule Your Consultation in Dallas, TX

If you’re concerned about the appearance of your chest or think you may have gynecomastia, don’t wait to seek expert care. Whether you’re dealing with Grade I or Grade IV gynecomastia, Dr. Azouz can help you achieve a flatter, firmer, and more confident chest through tailored surgical techniques.

Contact Azouz Plastic and Cosmetic Surgery in Dallas today to schedule your consultation and start your transformation.