Grades of Gynecomastia & It's Treatment | BY Dr Sachin Rajpal | Best Plastic Surgeon in Delhi

Summary

In this video, Dr. Sachin Rajpal discusses gynecomastia, explaining its grades and corresponding treatments. He outlines the characteristics of each grade, from Grade 1, which features minimal gland enlargement, to Grade 4, associated with significant skin laxity after major weight loss. The doctor details treatment options, including local excision for Grade 1 and more extensive procedures for higher grades, emphasizing the importance of tailored surgical approaches. He encourages viewers to reach out with questions about cosmetic surgery, providing contact information for further assistance.

Takeaways

• 😀 Gynecomastia grades are based on the amount of fat and glandular tissue in the chest.
• 😀 Grade 1 gynecomastia features a small gland behind the nipple, often presenting as puffiness.
• 😀 Grade 2 gynecomastia includes glandular tissue with some fat, but the nipple area remains normal.
• 😀 In Grade 3 gynecomastia, there is more fat and gland, with noticeable skin laxity.
• 😀 Grade 4 gynecomastia is the most severe, typically associated with significant weight loss and pronounced sagging.
• 😀 Treatment options vary by grade: Grade 1 may require local anesthesia for gland removal.
• 😀 Grade 2 treatment often involves liposuction and gland excision.
• 😀 For Grade 3, both gland removal and potential skin lifting procedures are considered.
• 😀 Grade 4 may necessitate extensive surgical intervention, including chest lifting and grafting techniques.
• 😀 Post-operative scarring can be significant, especially in more advanced cases.

Q & A

What is gynecomastia?

Gynecomastia is the enlargement of breast tissue in males, which can occur due to a variety of reasons, including hormonal imbalances, weight changes, or certain medications.

How is gynecomastia classified?

Gynecomastia is classified into four grades based on the size of the gland and the amount of fat present in the chest area.

What are the characteristics of Grade 1 gynecomastia?

Grade 1 gynecomastia involves a small glandular enlargement, typically presenting as a prominent nipple when wearing tight clothing.

What distinguishes Grade 2 from Grade 1 gynecomastia?

Grade 2 gynecomastia includes glandular tissue along with some fat; however, there is no significant skin laxity.

What symptoms are associated with Grade 3 gynecomastia?

In Grade 3, there is a more pronounced glandular tissue and fat, accompanied by some skin laxity, resulting in a drooping appearance.

What characterizes Grade 4 gynecomastia?

Grade 4 gynecomastia is the most severe form, often seen in individuals who have undergone significant weight loss, leading to extensive skin laxity and drooping of the breast tissue.

What are the treatment options for Grade 1 gynecomastia?

For Grade 1, treatment may involve local anesthesia to remove the gland without the need for more invasive procedures.

How does the treatment approach change for Grade 2 gynecomastia?

In Grade 2, both gland removal and liposuction are typically required to reduce excess fat and achieve a flatter chest contour.

What treatments are recommended for Grade 3 gynecomastia?

Grade 3 may require gland removal, liposuction, and possibly skin lifting procedures to address excess skin.

What surgical considerations are involved in Grade 4 gynecomastia?

Grade 4 gynecomastia surgery may involve significant removal of excess tissue and skin, and patients should expect noticeable scarring post-surgery.