- Chest fold angle is the single most important measurement in determining gynecomastia type and optimal treatment.
| Gyne Type | Chest fold angle |
| Type 1 | < 45 |
| Type 2 | < 60 |
| Type 3 | 60-90 |
| Type 4 | > 90 |
- Pencil test – place a pencil 2 cm above your chest fold to simulate reconstruction of the chest fold support system and correction of rounded chest. This 2 cm area of skin needs to be flat because leaving a persistent skin fold fails to recreate a masculine chest. In addition, it looks like there is persistent breast tissue.
- Knowing the gynecomastia type you have prior to consultation makes helps greatly with research and expectations.
- It is essentail to distinguish between types 2, 3 and 4 as the treatments are dramatically different.
- Determining chest fold angle is the single best gynecomastia type predictor for patient’s. See Below
- Determining exact amount of excess skin via “Pinch Test” is most accurate and is done by Dr. Cruise.
- If your chest bounces when running then excess skin is likely.