Types + Grades of Gynecomastia
Gynecomastia can be classified into different degrees related to the amount of fat and glandular tissue build up. The condition is classified by the volume of buildup, stretching and sagging of the skin, and deformation of the nipples and areolas. A surgical treatment plan is based on the grading of the condition.
Mild cases consist of cherry sized lumps just behind the nipples, most often occurring in athletic, young men. The nipples appear to be sticking out, especially with the chest muscles relaxed, or in warmer weather. Although not always noticeable to other people, puffy nipples can be more apparent when wearing tightly fitted shirts.
More severe cases will outwardly resemble female breasts with significant amounts of fat and glandular tissue, and typically cause men significant psychological distress. The image illustrates and classifies the range of conditions that can occur.