Gynecomastia is a condition characterized by the enlargement of breast tissue in males, and it can vary significantly in severity from one individual to another. Understanding the grading or staging system is pivotal in assessing and addressing this condition effectively.

There are four grades along the spectrum, and gynecomastia healthcare professionals at the New Jersey Gynecomastia Center can help you gain valuable insight into tailoring treatment plans to suit your unique needs.

What are the Stages of Gynecomastia

These stages range in severity from grade 1 (mild) to grade 4 (severe), and each stage has several characteristics that distinguish it from the other grades. The treatments for each grade also differ (as well as overall surgery costs), with stage 4 treatment requiring a very different surgical approach in comparison to stage 1.

The four stages of gynecomastia are:

  • Grade 1: small growth without excess skin
  • Grade 2: moderate growth without excess skin
  • Grade 3: moderate growth with excess skin
  • Grade 4: significant growth with excess skin

There are several other signs and symptoms associated with each stage, which we’ll get to later.

It is important to note from a medical standpoint, that gynecomastia is defined as overdeveloped breast gland tissue. However, it is quite common for there also to be excess fat tissue in the breast (also known as pseudogynecomastia).

Both excess breast gland tissue and excess fat tissue can be removed during an overall gynecomastia procedure.

Stages of Gynecomastia Male Chest

Overview of the 4 Grades of Gynecomastia

Let’s take a look in more detail at each stage of gynecomastia and what they entail.

Grade 1 Gynecomastia: Small Growth without Excess Skin

Sufferers of grade 1 gynecomastia suffer from a small amount of breast growth, sometimes accompanied by pain or tenderness in the nipples. The swelling around the nipple is only slight, and the area may sometimes be discolored. The nipple is sometimes puffy and tender to the touch.

Stage 1 gynecomastia is generally not seen when the patient is clothed. However, it may be noticeable if the patient is in a state of undress (such as at the beach or a swimming pool), and may cause embarrassment in these instances.

Gynecomastia Surgery Before and After 15

Grade 2 Gynecomastia: Moderate Growth without Excess Skin

Advancing to grade 2, gynecomastia presents with a more noticeable enlargement of breast tissue extending across the chest.

This moderate growth may be evident even when clothed and becomes particularly prominent in bare-chested situations, eliciting embarrassment or distress in affected individuals.

Alongside breast protrusion, nipple puffiness and tenderness persist, contributing to the physical and emotional burden of the condition.

Gynecomastia Surgery Before and After 18

Grade 3 Gynecomastia: Moderate Growth with Excess Skin

Entering grade 3 signifies a significant advancement in gynecomastia, characterized by considerable breast tissue development and chest widening.

The enlarged breasts become more pronounced, often protruding visibly through clothing. Notably, skin excess becomes apparent, leading to a ‘droopy’ appearance of the breasts.

With heightened visibility and physical changes, grade 3 gynecomastia can substantially impact self-esteem and quality of life, prompting individuals to seek intervention.

Gynecomastia Surgery Before and After 8

Grade 4 Gynecomastia: Significant Growth with Excess Skin

Grade 4 gynecomastia represents the most severe stage of the condition, where breast enlargement is substantial and akin to female breasts in appearance.

The breasts are visibly prominent, often overshadowing other features even when clothed. Excess skin becomes more pronounced, contributing to a fuller, sagging appearance of the breasts. Nipple size increases significantly, further accentuating the feminine characteristics.

Individuals with grade 4 gynecomastia may experience profound emotional distress and social challenges, necessitating comprehensive treatment and support.

Gynecomastia Surgery Before and After 20

Get in Touch

At the New Jersey Gynecomastia Center, we recognize the diverse landscape of gynecomastia and tailor our approach to address each patient’s unique needs. From initial evaluation to personalized treatment plans, our team is dedicated to providing compassionate care and empowering individuals to reclaim confidence and well-being.

If you are experiencing any sort of gynecomastia symptoms, feel free to schedule a free consultation with our NJ gyno plastic surgeon specialists. We are here to help guide you in your decision process and get you going in the right direction.


At the New Jersey Gynecomastia Center, we’re all about giving you top-notch care from start to finish. From your very first consultation to your recovery and beyond, we’re here for you every step of the way. We’re honored to be entrusted with your care, and we take that responsibility seriously. Our team, led by board-certified gynecomastia plastic surgeon specialists, is dedicated to providing the absolute best in patient care and outcomes. We understand that every person is unique, so we tailor our approach to suit your individual needs. Got questions? Ready to schedule your in-person or virtual consultation? Don’t hesitate to reach out to the New Jersey Gynecomastia Center today. We’re here to help!

New Jersey Gynecomastia Center
1567 Palisade Avenue #3A
Fort Lee, New Jersey 07024
(551) 201-1110