The American Society of Plastic Surgeons (ASPS) classifies gynecomastia qualitatively based on the physical appearance of the breast.
Patient selection: male with gynecomastia
Parameters:
(1) degree of breast enlargement
(2) additional features
|
Degree of Breast Enlargement
|
Additional Features
|
Grade
|
|
mild/small
|
localized button of tissue around the areola
|
I
|
|
moderate
|
exceeds areola boundaries with edges that are indistinct from the chest
|
II
|
|
moderate
|
exceeds areola boundaries with edges that are distinct from the chest with skin redundancy
|
III
|
|
marked
|
with skin redundancy and feminization
|
IV
|
