Gynecomastia Types. A Classification system is only useful if it guides treatment. This is my roadmap for determining the best treatment for each of the 6 types of gynecomastia with the goal of providing the best possible results. Type 1 Expand. Type 2 Expand. Breast tissue - extends over chest fold Nipple position - above border of pec.
Type 3 Expand. Breast tissue - extends over chest fold Nipple position - 0 to 2 cm. Type 4 Expand. Type 5 Expand. Type 6 Expand. There are three conditions that can cause your breasts to look large: glandular gynecomastia, fatty gynecomastia, and loose skin in the breast area.
For some, breast reduction surgery can make a significant difference. For others, excision may be the best option to make sure your new chest looks exactly as you would like it to. Glandular gynecomastia is the result of an excess of estrogen in the male body. Thanks to environmental factors like plastic , pesticide-laden foods, and medications, more and more men are becoming estrogen-dominant.
When this happens, the glandular breast tissue can become enlarged. The increase in estrogen combined with the decrease in testosterone automatically signals the body to create more fat in the chest area, which becomes the source of even more estrogen, which increases breast tissue size. Luckily, by removing excess glandular and fatty tissue in the breast area, you can break the cycle once and for all. This type of gynecomastia can happen as you age and your testosterone levels naturally begin to drop.
Sometimes excess weight gain can cause fatty gynecomastia, aka pseudo-gynecomastia, when the excess fat cells begin collecting in the breast area. On the surface, gynecomastia and pseudo-gynecomastia look the same. While glandular gynecomastia is enlarged breast tissue, pseudo-gynecomastia causes enlarged pectoral fat cells. However, one meta-analysis notes that many of these claims are supported by poor quality evidence. Gynecomastia is not normally a serious problem, but research shows that it can affect self-confidence and cause embarrassment.
The areola, the area of pigmented skin that surrounds the nipple, may increase in diameter, and the chest tissue may appear asymmetrical. If there is unusual and persistent swelling, tenderness, pain, or nipple discharge, or a combination of these, it is important to see a physician.
The doctor will ask about symptoms, medical and drug history, and possibly family history. There will be a physical examination of the breast tissue, as well as the genitals and abdomen. If the cause appears to be a hormone imbalance, for example in puberty, the doctor will normally advise the patient that the condition is likely to resolve itself within a year.
If the lump is abnormally large, tender, one-sided, fixed and hard, or associated with nipple discharge, the physician may order a biopsy, to rule out breast cancer. A tissue biopsy, if appropriate, will take a sample of cells or tissue from the target area for examination under a microscope. Often, cases of gynecomastia will resolve without the need for treatment. If treatment is necessary, it is often successful.
In general, gynecomastia is not connected to significant health issues further down the line. However, there is a slightly increased risk of breast cancer in men with gynecomastia. Many people worry that their penis is not big enough, but that may not be the case. Here, see what research says about the average penis size. In male hypogonadism, the testes do not produce enough testosterone and sperm. This can have a range of effects on the body, including delayed sexual….
Learn about nipple discharge, including information on what the discharge is, the most common causes, and the most effective treatments. Keep in mind, when the breast volume is removed the chest will deflate causing significantly more chest sag. This will further increase the need for skin removal.
Failure to address the skin laxity may make the sagginess worse. Fortunately, for type 2 gynecomastia, the chest will likely "snap back" without any skin removal. Notice the projection of the entire chest not just the areola area. The skin is relatively tight. Removing the excess volume will flatten the breast mound. Typically with a Type 2 the skin quality is such that the skin will snap back when the volume is removed.
As you go to Types 3, 4, and 5 the skin does not snap back as well. This is why skin tightening may be necessary in these types. The image above demonstrates the most common incision location to correct Type 2 gynecomastia.
If only liposuction is performed this incision may be much smaller or may be located elsewhere on the chest. Start Your Journey Today. Severe sag 7-Top of areola is below chest fold. Extreme sag Are You a Good Candidate? Gynecomastia Type 2.
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