Grade 1 Gynecomastia
Grade I gynecomastia is defined as enlargement that is confined to a small, localized area, usually behind the areola.
Grade 2 Gynecomastia
Grade II gynecomastia is characterized by moderate gynecomastia and more widespread breast tissue growth that goes beyond the areola.
Grade 3 Gynecomastia
Grade III gynecomastia is defined as moderate-to-severe, with significant breast tissue protrusion.
Grade 4 Gynecomastia
The most profound type, Grade IV, has a significant increase in breast tissue with sagging of the breast and may give the chest a more feminine aspect.
Regardless of the grade of gynecomastia, surgery often offers the best treatment for gynecomastia for an ideal masculine chest. Dr. Azouz has included a fifth category of gynecomastia that involves a large amount of breast tissue to be removed, similar to a woman who requires a female breast reduction.
