Gynecomastia is graded by how much breast enlargement is present and whether there is extra loose skin.
The grading system helps describe severity, but it does not replace an examination. Two men with the same
grade may still need different treatment plans.
Common grades
Grade 1 is a small amount of breast tissue, usually behind the nipple, with no loose skin.
Grade 2a is moderate enlargement, but the skin still fits well. Grade 2b is moderate enlargement with some
loose skin.
Grade 3 is more significant enlargement with loose skin and some drooping.
Why the grade matters
The grade helps determine the best treatment. Some men need liposuction. Some need gland removal.
Some need skin tightening. Many need a combination.
Occasionally, an ultrasound is helpful if it is unclear whether the fullness is gland tissue, fat, or both.
Key takeaway Gynecomastia Grades Explained
Your grade helps guide the surgical plan, but the most important step is an examination of the tissue, skin,
and chest contour.
If you are bothered by chest fullness, puffy nipples, or gynecomastia, schedule a consultation with Trupiano
Plastic Surgery in Troy, Michigan. An examination can determine whether the fullness is fat, gland tissue,
loose skin, or a combination. Gynecomastia Grades Explained
