Gynecomastia’s Different Grades
At least 60% of all men will have some form of gynecomastia in their lifetime. For many, it will be as they pass through puberty, but fortunately, adolescent gynecomastia usually resolves on its own within 2 months and up to 2 years. If adolescent male breasts persist beyond 2 years, it is probably permanent, and surgery will be the only solution.
This 21 year old young man has suffered from adolescent gynecomastia. He had glandular excision and liposuction. His goal was to “reduce my puffy nipples.”
Gynecomastia comes in varying degrees of severity. Each case is individual and needs to be evaluated as such and will determine how surgery is to be performed. Some men with severe gynecomastia may require surgery to be done in 2 stages.
The American Society of Plastic Surgeons (ASPS) has a scale for the different degrees of gynecomastia and is as follows:
· Grade I: the severity is mild, tissue can be felt just under the areola
· Grade II: the severity is mild to high with breast enlargement exceeding the boundaries of the areola but without excess skin
· Grade III: the severity is high and very visible with excess skin and the boundaries exceeding the areola
· Grade IV: the severity is high, very visible feminine type breasts with excess skin
The degree of severity along with the patient’s goals will determine how the procedure will be done. In some cases, the breasts may be different, and sometimes only one breast is affected. A gynecomastia specialist has the expertise to reshape the chest for symmetry.
The term “gynecomastia” has become widely known since the class action lawsuit against Johnson and Johnson for their drug Risperdal. Risperdal was used for the treatment of bipolar disorders and autism in children, but the development of breasts was an alarming side-effect. Television was inundated with commercials from attorneys looking for victims of Risperdal to join in their class action suit, which ultimately settled with one of the highest payouts in history.
No matter what grade a gynecomastia patient may have, the emotional effect can be devastating. Dr. Miguel Delgado, M.D. states that 40% of his gynecomastia practice is revision surgery of cases that were done by surgeons who do not have specialized training. When choosing your surgeon, be sure he/she is Board Certified in Plastic Surgery! View many before and after pictures of the surgeon’s patients and read online reviews.
Dr. Delgado’s reputation as one of the top gynecomastia specialist stretches beyond the San Francisco Bay Area, with patients coming from all over the United States and beyond. Dr. Delgado offers a generous travel package for out of town patients.
Call (415) 898-4161 today for a consultation with Dr. Delgado for any gynecomastia issues you may have. Serving the Sacramento area since 1988.