Grades of Gynecomastia

Introduction: Know Your Grade, Know Your Treatment
What Are the Grades of Gynecomastia?
What is Grade 1 Gynecomastia?
What is Grade 2A Gynecomastia?
What is Grade 2B Gynecomastia?
What is Grade 3 Gynecomastia?
How is Gynecomastia Grade Diagnosed?
Does the Grade Affect Surgery Cost?
Conclusion: Grade Doesn’t Define You—Treatment Does
FAQs

Introduction: Know Your Grade, Know Your Treatment

Do you feel self-conscious about excess fat or gland on your chest? You’re not alone. But there are different grades of gynecomastia—and each requires a tailored approach.

Dr. Milan Doshi has helped thousands of men over 25+ years with personalized gynecomastia treatments at Allure Medspa, Mumbai. This guide explains each grade so you can plan confidently and choose the best path to a flat, masculine chest.

What Are the Grades of Gynecomastia?

Gynecomastia is commonly classified into four grades based on severity, gland size, and skin excess. These grades help surgeons design precise treatment plans.

What is Grade 1 Gynecomastia?

Mild enlargement with no extra skin—often presents as puffy nipples.

How does Grade 1 appear?

Small gland behind the areola
No visible chest bulge under clothing
Often mistaken for fat

What is the treatment for Grade 1?

Liposuction only, or
Gland removal through a tiny periareolar incision
Day-care procedure with minimal downtime

What is Grade 2A Gynecomastia?

Moderate breast tissue enlargement without excess skin.

How does Grade 2A look?

Noticeable chest fullness
Wider gland spread beneath areola and chest wall
No skin laxity

What is the treatment for Grade 2A?

Liposuction to remove fat
Gland removal via keyhole periareolar incision
Compression garment for 4–6 weeks

What is Grade 2B Gynecomastia?

Moderate enlargement with mild skin redundancy.

How is 2B different from 2A?

Mild skin laxity below the chest line
Common after weight loss
Areola may sit slightly lower

What is the treatment for Grade 2B?

Liposuction + gland excision
Skin tightening via natural recoil or small excision if needed
Compression garment typically 6–8 weeks

What is Grade 3 Gynecomastia?

Severe enlargement with significant skin excess and sagging.

What does Grade 3 typically look like?

Large, breast-like appearance
Skin folds or ptosis (sagging)
Areola pointing downward

What is the treatment for Grade 3?

Complete gland removal + aggressive liposuction
Skin excision (mini chest lift patterns as needed)
More downtime and focused scar management

How is Gynecomastia Grade Diagnosed?

Diagnosis is clinical and performed by an experienced plastic surgeon:

Chest exam in a standing position
Pinch test to distinguish gland vs fat
Ultrasound or hormone tests if indicated
Reference photos for grading and planning

Learn more on our Gynecomastia Surgery page »

Does the Grade Affect Surgery Cost?

Yes. Higher grades generally require more steps and slightly higher cost.

Grade 1 & 2A: ₹65,000 – ₹85,000
Grade 2B & 3: ₹85,000 – ₹1,25,000

Includes compression garments, consultation, and post-op care.

Explore pricing in detail on the Allure Medspa cost page »

Conclusion: Grade Doesn’t Define You—Treatment Does

Understanding your gynecomastia grade is the first step to regaining confidence. Whether it’s mild puffiness or significant sagging, there’s a personalized, proven, and safe solution at Allure Medspa.

Book your consultation and take the first step toward a confident new you.

FAQs

Q1. Can Grade 1 gynecomastia go away naturally?

Ans. Rarely. True gland tissue doesn’t resolve with diet/exercise alone.

Q2. Is surgery different for each gynecomastia grade?

Ans. Yes. Treatment depends on gland size, distribution, and skin condition.

Q3. How do I know if I have gynecomastia or chest fat?

Ans. Only a clinical exam (and ultrasound if needed) can confirm the difference.

Q4. Are there visible scars in higher-grade surgery?

Ans. Minimal. Incisions are placed along natural borders such as the areola edge.

Q5. Can weight loss reverse Grade 2B gynecomastia?

Ans. Weight loss may reduce fat but won’t remove gland or tighten lax skin.