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Gynecomastia type Chest fold angle Typical appearance
Type 1
< 45
Puffy Nipple, Tight chest fold
Type 2
< 60
Rounded chest fold, negative “bounce test”
Type 3
60-90
Loose skin, positive “bounce test”
Type 4
> 90
Chest fold sag > 90 degrees.
Type 5
Arm pit roll
Type 6
Back roll