Gynecomastia, characterized by male breast tissue enlargement, varies in severity among individuals. Understanding the grading system is essential for effective assessment and treatment.

There are four distinct grades along the spectrum – from the mild grade 1 to the more severe grade 4. At the Tampa Gynecomastia Center, our gynecomastia surgeons specialize in tailoring treatment plans to your unique needs, ensuring valuable insight and personalized care.

What are the Grades of Gynecomastia

The severity of gynecomastia is categorized into stages ranging from grade 1 (mild) to grade 4 (severe), each distinguished by specific characteristics. Treatment options and associated surgery costs also vary across the stages, with stage 4 requiring a distinct surgical approach compared to stage 1.

The four stages / grades 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’s also crucial to understand medically that gynecomastia entails the overdevelopment of breast gland tissue. However, it’s common for excess fat tissue to be present in the breast, which is called pseudogynecomastia when found on its own.

During a comprehensive gynecomastia procedure, both excess breast gland tissue and excess fat tissue can be addressed and removed.

Stages and Grades of Gynecomastia

Four Grades of Gynecomastia Overview

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

Individuals with grade 1 gynecomastia experience minimal breast growth, often accompanied by nipple pain or tenderness. Swelling around the nipple is slight, occasionally with discoloration. The nipple may appear puffy and sensitive to touch.

Typically, stage 1 gynecomastia is not apparent when the individual is clothed. However, it may become noticeable in situations where the person is undressed, such as at the beach or swimming pool, potentially leading to feelings of embarrassment.

Grade 2 Gynecomastia: Moderate Growth without Excess Skin

Grade 2 gynecomastia is characterized by a more pronounced enlargement of breast tissue that extends across the chest. This moderate growth may be noticeable even when the individual is clothed and becomes particularly prominent in bare-chested situations, causing embarrassment or distress.

In addition to breast protrusion, nipple puffiness and tenderness persist, further adding to the physical and emotional burden of the condition.

Grade 3 Gynecomastia: Moderate Growth with Excess Skin

Advancing to grade 3 represents a substantial progression in gynecomastia, marked by significant breast tissue development and chest widening.

The enlarged breasts become notably pronounced, often visibly protruding through clothing. Moreover, excess skin becomes evident, resulting in a droopy appearance of the breasts.

Given the heightened visibility and physical changes associated with grade 3 gynecomastia, individuals may experience a significant impact on self-esteem and quality of life, prompting them to seek intervention.

Grade 4 Gynecomastia: Significant Growth with Excess Skin

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

The breasts become highly prominent, often dominating the individual’s physique, even when clothed. Excess skin becomes more noticeable, contributing to a fuller, drooping appearance of the breasts. Moreover, nipple size can increase significantly, further emphasizing feminine characteristics.

Individuals grappling with grade 4 gynecomastia may grapple with profound emotional distress and encounter significant social challenges, necessitating comprehensive treatment and support.

Get in Touch With a Tampa Gynecomastia Surgeon

At the Tampa Gynecomastia Center, we acknowledge the varied spectrum of gynecomastia and tailor our approach to address each patient’s unique needs.

From the initial assessment to customized treatment strategies, our team is committed to delivering compassionate care, and empowering individuals to regain confidence and overall well-being.

If you are located in the Tampa, Clearwater, St. Petersburg, or anywhere else nearby, and are experiencing any sort of gynecomastia symptoms, feel free to schedule a free consultation with our Tampa 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 Tampa Gynecomastia Center, we prioritize delivering exceptional care from your initial consultation to your recovery and beyond. We deeply value the trust you place in us and are committed to upholding the highest standards of patient care. Our team, led by board-certified gynecomastia plastic surgeon specialists, is devoted to achieving optimal outcomes for each individual. Recognizing that every person is unique, we personalize our approach to meet your specific needs. Whether you have questions or are ready to schedule your in-person or virtual consultation, please don’t hesitate to contact the Tampa Gynecomastia Center today. We’re here to support you every step of the way!

Tampa Gynecomastia Center
100 N Ashley Dr #50K
Tampa, Florida 33602
(203) 441-1113