The Different Grades and Causes of Gynecomastia

The Different Grades and Causes of Gynecomastia
Written by Medhaavi Mishra

Some hormonal imbalances in men may lead to an increase in breast gland tissue, causing lady-like boobs. This may cause them several problems and an embarrassing situation. This situation is known as gynecomastia which results in enlarged man boobs. The easiest way to escape the situation is to engage in a proper cardiovascular workout routine while following a diet pattern. To have natural results, patience is necessary. However, for quick results, Gynecomastia surgery can be performed, which is called liposuction.

Surgery of any kind costs much depending on its type, extent, and any other procedures done. The entire gynecomastia surgery cost vary on factors like cities, hospitals, and the method of surgery.

What are the causes of Gynecomastia?

The primary cause of gynecomastia is the imbalance between estrogen and testosterone, leading to enlarged breast tissues in men. However, several factors can cause gynecomastia in men.


Hormones play a massive role in the body development of men and women. Testosterone is the hormone dominating male traits, while estrogen controls female traits. Men also produce a little amount of estrogen in their bodies. However, when produced in surplus may cause gynecomastia.

Many infants are also born with gynecomastia as they still have their mother’s estrogen. This goes away within two or three weeks after the birth. Puberty changes lead to hormonal imbalance can also cause swollen breasts in men, which goes away in a month or two.


Certain medications like anti-androgens, steroids, medicines for fungal infection, anxiety, depression, medication for fertility problems, and some drug like marijuana, heroin, and alcohol cause enlarged breasts in men.

Other factors

  • Obesity
  • Liver disease
  • Hypothyroidism 
  • Kidney failure 
  • Tumors

What are the grades of gynecomastia?

Depending on the severity of the condition, gynecomastia surgeons divide it into four different grades.

Grade I- Small Breast Enlargement

Grade 1 Gynecomastia, only the area surrounding the areola is affected. It is nothing but the discoloring of skin around the areola. The affected condition is minor and is not visible over the clothing.

Grade II-a Moderate Breast Enlargement without Skin Excess

This condition is a bit intense than grade 1 as the enlargement is not contained inside the areola but starts developing around the chest region. However, it is not much prominent and cannot be seen over the clothing. For such conditions, doctors prescribe workouts and low estrogen diets.

Grade II-b Moderate Breast Enlargement with Skin Excess

The condition becomes intense in grade 2b as the enlargement exceeds the chest region and the areola making the breast shape more prominent, seen over clothes.

Grade III- Marked Enlargement with Skin Excess Mimicking Female Breast Ptosis

This condition looks similar to a female breast with a very prominent nipple area. Doctors suggest suction surgery for male breast reduction in grade 3 cases.

Why Gynecomastia Surgery?

Not every male considers being naked in front of other males displaying his lady-like boobs. However, those who are reluctant to remove them consider surgery. There are many possible reasons to consider it. For example, some men have an obsession with removing a shirt in the gym and swimming pool but can’t because of their breasts. Such people can consider surgery. Others may do it for public confidence. Gynecomastia in Delhi can be done by laparoscopy or liposuction. At Kalosa Gynecomastia Clinic, we have experienced doctors ready to help their patients with the best.

Final Words

There are many benefits of developing a man like a chest with surgery. Some people may develop psychological problems while facing the issue of man boobs. They may lose self-esteem and total confidence. Having a flat chest due to surgery gets them to wear fitted clothes and thus develop a whole personality. It also improves body posture, and men can perform proper physical activities after getting a hard chest.

About the author

Medhaavi Mishra