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 did you know there are different grades of gynecomastia—and each needs a unique approach?
Dr. Milan Doshi, and over the last 25+ years, He has helped thousands of men get rid of male breast tissue through personalized gynecomastia treatments at Allure Medspa, Mumbai.
This guide helps you understand your gynecomastia grade, so you can plan confidently and choose the best treatment for a flat, masculine chest.
What Are the Grades of Gynecomastia?
Gynecomastia is classified into 4 grades based on severity, gland size, and skin excess.
These grades are used globally by plastic surgeons to design treatment plans.
External Ref:
What is Grade 1 Gynecomastia?
Mild enlargement with no extra skin—often looks like puffy nipples.
How does Grade 1 appear?
- Small gland behind areola
- No visible chest bulge with clothes
- Often mistaken for fat
What is the treatment for Grade 1?
- Liposuction only, or
- Gland removal through a tiny cut near areola
- Same-day discharge, no major downtime
What is Grade 2A Gynecomastia?
Moderate breast tissue enlargement without excess skin.
How does Grade 2A look?
- Noticeable chest fullness
- Wider gland spread under areola and chest wall
- No skin sagging
What is the treatment for Grade 2A?
- Liposuction to remove fat
- Gland removal via keyhole incision
- Compression garment for 4–6 weeks
What is Grade 2B Gynecomastia?
Moderate breast enlargement with mild skin redundancy.
How is 2B different from 2A?
- Mild skin laxity below chest line
- Common in men post weight loss
- Areola may slightly droop
What is the treatment for Grade 2B?
- Liposuction + gland excision
- Skin tightening by natural recoil or minor excision
- Longer garment usage (6–8 weeks)
What is Grade 3 Gynecomastia?
Severe enlargement with significant skin excess and sagging.
What does Grade 3 typically look like?
- Large female-like breasts
- Skin folds or ptosis (sagging)
- Areola pointing downward
What is the treatment for Grade 3?
- Gland removal + aggressive liposuction
- Skin excision (like mini chest lift)
- Higher downtime, scar management needed
How is Gynecomastia Grade Diagnosed?
It’s a visual and physical exam done by an experienced plastic surgeon.
- Chest exam in standing position
- Pinch test for gland vs fat
- Ultrasound or hormone test if needed
- Reference photos may be used
“Learn more on our Gynecomastia Surgery Page“
Does the Grade Affect Surgery Cost?
Yes. Higher grades usually involve more steps and cost slightly more.
- Grade 1 & 2A: INR 65,000 – INR 85,000
- Grade 2B & 3: INR 85,000 – INR 1,25,000
- Includes compression garments, consultation, post-op care
Internal link:Explore pricing in detail on Allure Medspa cost page – gynecomastia
Conclusion: Grade Doesn’t Define You—Treatment Does
Understanding your gynecomastia grade is the first step to gaining your confidence back. Whether it’s mild puffiness or sagging breast tissue, there’s a personalized, scientifically safe solution at Allure Medspa.
“Book your consultation today and take your first step toward a confident new you.”
