The purpose of categorizing the different gynecomastia types is to determine which treatment is best.

 

Gynecomastia is classified into 4 grades by the American Society of Plastic Surgeons based on factors like size of breast enlargement and feminization of the breast. Grade 1 is considered mild and the highest grade of 4 is considered severe with noticeable feminization of the male chest. The table below shows each grade and its description.

 

Grade or Type Description Severity
1 A localized button of tissue that is concentrated around the areola Very mild
2 Moderate breast enlargement exceeding areola boundaries
with edges that are indistinct from the chest
Mild to high
3 Moderate breast enlargement exceeding areola boundaries
with edges that are distinct from the chest with skin redundancy present
High and visible
4 Marked breast enlargement with skin redundancy and feminization
of the breast
Severe and visibly feminine

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