Most people do not realize how prevalent gynecomastia is due to the fact that men who suffer from it tend to hold embarrassment around it and will do their best to hide the condition. Usually, men will avoid wearing tight-fitting shirts or several layers of clothing, and some even go to the point of lessening activities at swimming pools, the beach, and the gym—as well as their personal relationships. Fortunately, gynecomastia is an effective way to address this concern and quite often via minimally invasive means.

Close up of male's chest before gynecomastia surgery

Types of Gynecomastia

True gynecomastia

True gynecomastia is caused by enlarged glandular tissues. Gynecomastia is defined by breast gland development. In other cases of gynecomastia, the cause is fat deposits.

Pseudogynecomastia

Pseudogynecomastia is due to fat accumulation, with no real gland mass present. In general, pseudogynecomastia accompanies an overweight condition in the entire body. Since the size of the chest will change with weight fluctuation, an enlarged chest caused by pseudogynecomastia can typically be resolved with weight loss and exercise.

Idiopathic gynecomastia

Idiopathic gynecomastia indicates that no cause has been found for the condition. Certain medications and drugs can cause gynecomastia, but in some cases, the cause of gynecomastia cannot be determined.

GRADES OF GYNECOMASTIA

Gynecomastia has four grade conditions, which are explained below.

GRADE 1


Grade 1 is often referred to as “puffy nipples,” and the breast gland development is centered around the nipple area. Grades 1 can respond well to breast gland excision with liposuction through a small incision in the inferior portion of the areola (Webster incision). In addition, Grade 1 patients may be good candidates for the “pull-through” technique.

GRADE 2


Grade 2 is the most common type of male breast enlargement—the tissue extends beyond the central nipple-areola complex and fills out the chest region more extensively. Grades 2 generally responds well to breast gland excision with liposuction through a small incision in the inferior portion of the areola (Webster incision).

GRADE 3


Grade 3 gynecomastia is characterized by skin laxity—the skin begins to sag from the fold (inframammary fold or IF). The treatment of this grade could be gland-excision with liposuction through a Webster incision, a superior crescent lift, or a two-stage procedure. There is more variability with this grade, and the treatment depends on the quality of the skin and the patient’s age.

GRADE 4


Grade 4 is defined by severe skin laxity. This is the most complex of cases because the nipple-areola complex is turned downward. The only options are a two-stage procedure or a double-incision mastectomy with a free nipple graft.

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WHY CHOOSE DR. DELGADO?

Gynecomastia surgery requires keen technical knowledge and artistic skill. Having performed thousands of male breast reduction surgeries in San Francisco, Dr. Delgado is an expert in treating gynecomastia. He receives referrals for complicated cases from other physicians from most parts of the world.

Dr. Delgado made helping men who suffer from gynecomastia his personal mission and passion, even developing a website dedicated to the concerns of men with this gynecomastia: gynecomastia-specialist.com. There, you can read more about his surgical approach for adult and teen patients, bodybuilders, revision cases, and pseudogynecomastia.

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