- Skin Excess is the most accurate way of determining gynecomastia type and optimal treatment. It is used primarily by Doctor’s
- Chest Fold angle is the easiest way for patients to determine gynecomastia type.
- Gynecomastia Type 1 and 2 are “True Gynecomastia” as there is minimal skin excess
- Gynecomastia Type 3 has a significant amount of excess skin but is still can be managed with minimal incisions. Secondary skin tightening may be necessary for optimal results.
- Gynecomastia Types 4, 5 and 6 have so much excess skin that it can no longer be managed using only an incision around the areola.
- Dr. Cruise has crafted multiple ways to keep the incision as short as possible.
- However, treating a Type 4 patient using a Type 3 incision will almost certainly result in a “Deflated Look” and a result worse than if patient never had the surgery at all.
| Gyne. type | Pinch Test | Skin Quality Good – subt 1 cm | BT size | Chest fold angle | Chest fold sag | Typical appearance |
|---|---|---|---|---|---|---|
|
Type 1 |
< 2 cm |
|
|
< 45 |
0 cm |
Puffy nipple
Horizontal chest fold |
|
Type 2 |
2-3 cm |
|
|
< 60 |
1+ cm |
Rounded chest fold
Tight skin - Negative “bounce test” |
|
Type 3 early |
3-4 cm |
|
|
60-90 |
|
Loose skin – Positive “bounce test” |
|
Mid |
4 cm |
|
|
|
|
|
|
Max |
4-5 cm |
|
|
|
|
|
|
Type 4 |
5+ cm |
|
|
> 90 |
|
Chest sag – creates chest roll |
- Chest fold angle is the single best determining factor of gynecomastia type.
- Chest fold sag determines how much weakening has occurred within the chest support. As it sags it rounds out creating a more feminine / loose appearing chest.
- Nipple sag – determines if the skin has stretched enough that the nipple has fallen off the Pec. Muscle and into the chest fold resulting in “cratering”.
- 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.
