Gynecomastia is a proven medical ailment in which the male breast’s tissues swell due to an imbalance between the hormones oestrogen and testosterone. Gynecomastia results from a hormonal change carried on by the oestrogen outweighing the testosterone in males. It can happen to a man at specific times throughout his life. Gynecomastia can be divided into four stages. Each stage is determined by how serious the problem is. We will be focusing on the various stages of Gynecomastia in this article.

What are the 4 Stages of Gynecomastia?

There are many types of Gynecomastia, and everyone should be aware of the difference. This may aid patients in choosing the proper course of treatment for their condition. Moreover, there are four different grades of Gynecomastia, according to the specialists, and they are as follows:

  • Grade 1: Slight growth without much skin
  • Grade 2: Moderate growth without excessive skin
  • Grade 3: Mild skin excess and moderate growth
  • Grade 4: A noticeable enlargement with extra skin that resembles a drooping female breast.

The American Society of Plastic Surgery (ASPS) has embraced the classification above and is known as the “gynecomastia scale” for it. Let’s now have a brief discussion about each type of Gynecomastia.

Grade 1

This gynaecomastia grading denotes a minor expansion of the breasts with concentrated tissue near the areola or the region of the nipple. The targeted tissue would be distinct from the nearby breast tissue because of a little swelling. When wearing garments, the issue is typically not apparent. Moreover, if it doesn’t develop with time, you won’t have to rely on treatments.

Grade 2

A modest to substantial breast growth that spans the chest width is called grade 2 gynecomastia. Some boys wear loose clothes in this gynaecomastia grading so that their chests are less obvious. At this point, a specialist might occasionally advise surgery, but you can also attempt other non-surgical therapy options like quitting using specific medications, losing weight, and wearing compression clothing. 

Grade 3

The breast growth gets more moderate to considerable when Gynecomastia passes grade 3. Under such stages of Gynecomastia, the width of the chest is increased, and there is more extra skin. Even when using loose-fitting clothes, the problem might become very obvious at this point. The problem may make men feel less confident about their physique because it is more obvious.

Grade 4

One of the most extreme grades of Gynecomastia a man can get is grade 4. Considerable breast growth and a big amount of extra skin are indicators of this stage. In this state, the chest resembles a woman’s breast more. At this point, surgery could be inevitable, but non-surgical therapy alternatives must always be explored first.

Type of Gynecomastia

There are mainly two types of Gynecomastia that you must be aware of. They are mentioned below:

Glandular Gynecomastia: The overproduction of oestrogen in the man’s body leads to the development of glandular Gynecomastia. When a person has this Gynecomastia, their breast tissue begins to enlarge. Older adults have more chances to experience this type of Gynecomastia.

Fatty Gynecomastia: This condition, also known as pseudogynecomastia, is caused by fat accumulation, excess weight gain, and a build-up of fat cells near the breasts. This type of Gynecomastia has several different causative factors, such as leading an unhealthy lifestyle, abusing alcohol, consuming a lot of fast food, etc.

Gynecomastia in Adolescent Males

The Greek words gynec (female) and mastos are the origins of the phrase “adolescent gynecomastia,” which describes a harmless glandular development in the male breasts. The disease may be unilateral or bilateral, chronic or acute, and with or without touch sensitivity. The hormone levels of males change during puberty. Oestrogen can promote breast tissue growth if the amount of testosterone declines. Many adolescent males have enlarged breasts to varying degrees. When males reach puberty, and their hormone levels stabilize, Gynecomastia typically disappears.

Surgical Treatment for Gynecomastia

Even though the non-surgical gynecomastia therapies can be beneficial, surgery is frequently the best option for treating the different stages of Gynecomastia. Gynecomastia surgery enables rapid, definite removal of extra breast fat and tissue and enhancement of the chest’s look. The main goals of surgical treatment for Gynecomastia are to address nipple, breast, or areola deformities and restore the typical male breast contour. For a person with Gynecomastia, surgical options include the following:

    • Liposuction-assisted mastectomy: The treatment for pseudogynecomastia that is most frequently utilized is mastectomy with liposuction assistance. The anterior axilla along the pectoralis major tendon or the 3-mm areolar incision is used to implant the liposuction cannulas. A small amount of adipose and glandular tissues is removed by the surgeon.
    • Mastectomy: To cure or avoid breast cancer, a mastectomy is a surgical procedure where the entire breast tissue is removed from the breast. A mastectomy might be a possible treatment for people with early stages of breast cancer.
  • A combination of the 2 approaches

Pharmacological Treatment for Gynecomastia

Most patients start improving from this illness on their own without any medical intervention. The doctor may recommend an endocrinologist, a professional who deals with issues relating to hormones and also how they influence your body if you have Gynecomastia. The patient’s age, health, the potential duration of your disease, and how well you deal with specific medications may all influence how the different grades of Gynecomastia are handled. Some men experiencing Gynecomastia may benefit from taking medications for disorders like breast cancer and other illnesses. They consist of:

  • 1. Tamoxifen (Soltamox)
  • 2. Anti-aromatase drugs like anastrozole (Arimidex)

Even though the Food and Drug Administration has approved these drugs, they will not be explicitly licensed for use in patients with Gynecomastia.

How To Categorize Each Stage of Gynecomastia?

The first step in treating any illness or medical problem is to recognize it. You can select the most effective treatment for your stages of Gynecomastia by being aware of them. Gynecomastia frequently disappears naturally within two years. Surgery is undoubtedly the answer to it. However, the following are some specific characteristics of the four gynecomastia stages:

  • Grade 1: Since no specific symptoms or indicators are associated with gynaecomastia grading, it is particularly challenging to diagnose. The tissues near the breasts are not enlarged. The nipples, on the other hand, start to take on the appearance of a cone, and the skin around them starts to discolour.
  • Grade 2: Patients begin to have somewhat enlarged breasts in the second stage of Gynecomastia. When wearing loose clothes, the chest starts to feel firmer. The physicians believe that this phase is the most suited for successful gynecomastia surgery.
  • Grade 3: The breasts are noticeably protruding at this time. Even when wearing loosely fitting clothing, the sagging breasts are noticeable.
  • Grade 4: This grade is the simplest to recognize. The breasts at this stage enlarge dramatically to the point where they resemble those of women. The surgical treatment is the only appropriate cure for Grade 4 gynecomastia.

What Is the Fastest Way to Get Rid of Gynecomastia?

Gynecomastia may require an operation to fix the excessive breast tissue if it doesn’t minimize naturally. By wearing a compression shirt, men who are suitable for, or do not want to undergo surgery, hormonal treatment, or other drugs, can lessen the look of Gynecomastia.

A breast reduction is, however, the fastest cure for Gynecomastia. It’s crucial to keep in mind that many touted therapies are hazardous and ineffective. Some suggest crash diets, which could also lead to various medical and psychological issues in addition to failing to decrease breast tissue.

What foods to avoid if you have Gynecomastia?/ What foods can cause Gynecomastia?

In the realm of surgical procedures, numerous medical improvements have been made. Sadly, only a few of these procedures ask for therapy for Gynecomastia. Fortunately, modifying lifestyle choices and eating the right nutrients can effectively cure Gynecomastia. Avoiding eating the wrong foods is the primary step to treating Gynecomastia safely. As a result, the following foods should be avoided if you have Gynecomastia:

  • Soy-based items:  Due to soy’s significant phytoestrogen concentration, it is thought that consuming soy may have a similar impact on the body as that on oestrogen levels.
  • Dairy Products:  Cow’s milk contains oestrogen comparable to that of the female organism. As a result, drinking cow’s milk or consuming dairy products will cause you to consume more oestrogen. Such products have no or less testosterone since milking cows are feminine.
  • Flax Seeds:  Flax seeds consists of phytoestrogen because they are rich in soy. While men must keep away the flax to avoid Gynecomastia, it can be quite advantageous to women.
  • Protein Powders and Bars: Casein and whey protein powders and protein bars are popular among men because they can aid in muscle growth, but because they are made from dairy, they also contain oestrogen. 
  • Eggs: Similar to milk, eggs contain a lot of oestrogens. It’s vital to understand that while men who are enthusiastic about bodybuilding frequently eat a lot of eggs to gain muscle, this practice may make the grades of Gynecomastia severe.
  • Multigrain Bread: Despite being promoted as a healthy bread alternative, multigrain bread occasionally contains high levels of phytoestrogens. Thus, it is better to avoid it too.

How long does Gynecomastia last in puberty?

Gynecomastia, or the development of male breasts, can occur throughout puberty. It often results from typical hormonal changes associated with puberty and almost generally disappears by itself after a few months or years. Gynecomastia caused by puberty typically disappears by late adolescence. 

The increased development of breast tissue throughout puberty is driven by variations in the body’s oestrogen and androgen levels. To conclude, the stages of Gynecomastia during puberty should wither away between 6 months and 2 years.

How to get rid of breast buds in males?

Gynecomastia typically disappears on its own without medical assistance. The breast swelling levels out within a couple of months or years. Male breast buds may enlarge due to reduced body fat, which can be achieved by weight loss, exercise, and dieting. 

However, there is medication that can assist if Gynecomastia is quite acute. Gynecomastia can also be surgically treated to shrink the breasts if it persists after puberty. Moreover, the gynecomastia sufferers who use these non-surgical procedures might achieve the desired results.


To conclude, this article includes all the relevant details about the different grades and types of Gynecomastia. Once you make yourself aware of the kinds and phases of such illness, it will become easier to tackle the medical issue within time. Most importantly, you must avoid the food items mentioned above to prevent the condition from worsening.

Frequently Asked Questions

Does Gynecomastia go away at 18?

Gynecomastia during pubertal typically doesn’t require treatment because, once hormone levels are back to normal, it goes away on its own. However, apparent and noticeable Gynecomastia can be treated surgically with a surgical treatment like liposuction.

At what age should Gynecomastia go away?

Teenagers hitting puberty frequently suffer the issue of Gynecomastia. By the age of 21, it naturally disappears for most young guys.

How do I know if my gyno will go away?

Gynecomastia usually does not last forever. Normally, it passes through several stages before disappearing. Most males first go through an inflammatory period during which their breasts are sensitive. The inflammation disappears after around six to twelve months, leaving the scar tissue.

How fast does gynecomastia progress?

Breast tissue expands as a result of shifting hormone levels, such as declines in testosterone and increases in oestrogen. As hormone levels balance out, which can take anywhere between six months and two years, the condition improves.

Can diet help Gynecomastia?

Some meals, like tuna and salmon, are very anti-inflammatory. In addition, foods high in antioxidants include beans, citrus fruits, berries, sweet potatoes, and leafy greens. Include both of these items in your regular diet to obtain comfort from the discomfort and puffiness caused by Gynecomastia.

What causes Gynecomastia in teenage males?

The hormone levels of teenage males change throughout puberty. Oestrogen can promote the growth of breast tissue if the testosterone level declines.

Is Gynecomastia common during puberty?

Yes, it is rather common for hormonal changes brought on by puberty to induce Gynecomastia. The enlarged breast fat or tissue will typically go away with time.

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