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Thursday, March 30, 2017

Classification of the Degree of the Gynecomastia Condition.


Gynecomastia Grades

Upwards of 60% of men will experience the development of female type breasts at some point in their life. The most common are for adolescent boys as they go through puberty and have changing hormones. The majority of young men will find that their developed breasts or “puffy nipples” will go away on their own within 2 months to 2 years. After 2 years if their breasts have not returned to normal, they may have permanent gynecomastia that can only be corrected by surgery.


San Jose Before and After Adolescent Gynecomastia Surgery

 Before and After Adolescent Gynecomastia Surgery

 The development of breasts can be different for each patient and requires the expertise of a gynecomastia specialist to determine the best approach for surgery. The American Society of Plastic Surgeons (ASPS) has a scale to help describe the degree of severity of male breasts.

·         Grade I: Mild severity, breast tissue is felt under the areola
·         Grade II: Mild to High severity with the breast tissue and fat outside of the areola but without excess skin
·         Grade III: The same as Grade II except there is excess skin
·         Grade IV: High severity female type breasts with excess skin

For some of the more severe grades of gynecomastia, a 2 stage procedure may be required due to excess skin. Depending on the severity of the male breast determines the surgical approach. Sometimes only one breast needs correction; a gynecomastia specialist knows how to do unilateral gynecomastia surgery to obtain symmetry.

Not long ago the term “gynecomastia” was virtually unheard of.  Due to a class action suit filed against Johnson and Johnson, the term “gynecomastia” came to the forefront. Their drug “Risperdal” which is for the treatment of autism and bipolar disorders in children had the unwanted side effect of developed breasts in young men. Attorneys were advertising on television for potential victims of the drug and ended settling for one of the largest payouts in history.

Dr. Miguel Delgado, M.D. has been performing gynecomastia surgery since 1989 and states that over 40% of his gynecomastia practice are revision cases where the original surgery was done elsewhere. Get it right the first time. Do your homework! Be sure your surgeon is Board Certified in Plastic Surgery and has extensive training in male breast reduction surgery.


Call Dr. Delgado today at (415) 898-4161 for a consultation for any gynecomastia issues.  Serving San Jose and the surrounding San Francisco Bay Area since 1988.

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