{"id":38717,"date":"2024-12-19T05:41:23","date_gmt":"2024-12-19T05:41:23","guid":{"rendered":"https:\/\/gynecomastiala.com\/?page_id=38717"},"modified":"2024-12-28T00:08:23","modified_gmt":"2024-12-28T00:08:23","slug":"grade-4-gynecomastia","status":"publish","type":"page","link":"https:\/\/gynecomastiala.com\/grade-4-gynecomastia\/","title":{"rendered":"Grade 4 Gynecomastia"},"content":{"rendered":"\n\n\t<p>Grade 4 Gynecomastia: Severe Breast Enlargement<\/p>\n\t<p>Overview: Significant Breast Roll<\/p>\n\t<p>For many individuals, physical appearance significantly impacts self-esteem, and conditions like gynecomastia can lead to emotional distress. Gynecomastia, the enlargement of breast tissue in males, varies in severity, with Type 4 representing a pronounced level of enlargement. Type 4 gynecomastia is characterized by moderate breast roll with tissue extending into the axilla (armpit area) and the nipple positioned more than 2 cm below the chest fold. This results in noticeable sagging and a distinct chest silhouette, often accompanied by excess skin. The chest fold is pronounced, creating an aesthetic challenge that may require medical intervention.<\/p>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gynecomastiala.com\/wp-content\/uploads\/2024\/12\/gynecomastia-grades-and-types-4-1.jpg\" alt=\"Grade 4 Gynecomastia- Los Angeles, CA\" itemprop=\"image\" height=\"535\" width=\"956\" title=\"Grade 4 Gynecomastia- Los Angeles, CA\" onerror=\"this.style.display='none'\"  \/>\n\t<p>This condition is commonly seen in males aged 30-65, encompassing single men, married individuals, or those with children. In older patients, often aged 40-60, hormonal changes and aging play a significant role. Treatment for Type 4 gynecomastia involves considering the anatomy of the chest, including factors like skin elasticity and chest angle. Surgical options such as peri-areolar lifts or wedge excisions with nipple translocation are often recommended to restore a more masculine chest contour. These interventions aim to improve the overall quality of life for affected individuals by addressing physical and psychological concerns.<\/p>\n<h3>\n\t\t4 Types of Gynecomastia\n\t<\/h3>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gynecomastiala.com\/wp-content\/uploads\/2021\/07\/Classications-of-Gynecomastia-sm.jpeg\" alt=\"Types and classifications of gynecomastia- LA, CA\" itemprop=\"image\" height=\"493\" width=\"1200\" title=\"Types and classifications of gynecomastia.\" onerror=\"this.style.display='none'\"  \/>\n<h2>\n\t\tWhat is Grade-4 Gynecomastia?\n\t<\/h2>\n\tGrade 4 gynecomastia is marked by significant breast enlargement and excessive skin. This leads to severe drooping, which can create a visible fold in the chest. In this grade, the nipple and areola can be more than 1 cm below the inframammary fold.\nThis condition requires comprehensive <a href=\"https:\/\/gynecomastiala.com\/gynecomastia-surgery\/\">surgical treatment for a masculine chest contour<\/a>. Surgery often involves complete skin excision and repositioning of the nipple as a graft. Patients may have severely enlarged areolas that point downward, similar to sagging in large female breasts.\nHormonal imbalances are common in the development of Grade 4 gynecomastia, often reflecting high estrogen or low testosterone levels. Early diagnosis and treatment are essential to managing the condition effectively.\n<h3 dir=\"ltr\">Grade 4: Marked Breast Enlargement With Excess Skin<\/h3>\nGrade 4 gynecomastia is the most severe form, characterized by marked breast enlargement and excess skin. This leads to significant drooping, similar to female breasts, making it stand out from other grades of gynecomastia.\n<h3 dir=\"ltr\">Signs of Grade 4 Gynecomastia<\/h3>\n<ul>\n<li value=\"1\"><b><strong>Breast Enlargement<\/strong><\/b>: Moderate to severe, impacting daily life.<\/li>\n<li value=\"2\"><b><strong>Excess Skin<\/strong><\/b>: Causes pronounced sagging.<\/li>\n<li value=\"3\"><b><strong>Nipple Position<\/strong><\/b>: Often more than 1 cm below the inframammary fold.<\/li>\n<\/ul>\n<h3 dir=\"ltr\">Surgical Treatment Options<\/h3>\nEffective treatment involves comprehensive surgery:\n<ol>\n<li value=\"1\"><b><strong>Gland Excision<\/strong><\/b>: To remove glandular and fatty tissue.<\/li>\n<li value=\"2\"><b><strong>Liposuction<\/strong><\/b>: Reduces fat, aiding in sculpting a masculine chest contour.<\/li>\n<li value=\"3\"><b><strong>Skin Reduction<\/strong><\/b>: Addresses excess skin for improved appearance.<\/li>\n<li value=\"4\"><b><strong>Nipple Grafts<\/strong><\/b>: Repositions nipples for aesthetic harmony.<\/li>\n<\/ol>\nSuccessful surgery seeks to remove most breast tissue while minimizing recurrence and enhancing chest aesthetics. The ultimate goal is to restore a natural-looking, masculine chest.\n<h3>\n\t\tWhat Symptoms Grade-4 Gynecomastia?\n\t<\/h3>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gynecomastiala.com\/wp-content\/uploads\/2024\/12\/What-Symptoms-Grade-4-Gynecomastia.webp\" alt=\"What Symptoms Grade 4 Gynecomastia in LA, CA\" itemprop=\"image\" height=\"533\" width=\"800\" title=\"What Symptoms Grade-4 Gynecomastia\" onerror=\"this.style.display='none'\"  \/>\n\tGrade 4 gynecomastia is the most severe form of this condition. It is marked by significant breast enlargement and excess skin, which results in a more feminine chest appearance. Patients often experience pronounced sagging of their breast tissue. This sagging can resemble the drooping seen in women with large breasts.\n<h3 dir=\"ltr\">Key Symptoms:<\/h3>\n<ul>\n<li value=\"1\"><b><strong>Severe Sagging:<\/strong><\/b> The nipple and areola may droop more than 1 cm below the inframammary fold.<\/li>\n<li value=\"2\"><b><strong>Enlarged Areolas:<\/strong><\/b> The areolas often enlarge and point downward, leading to an unbalanced chest contour.<\/li>\n<li value=\"3\"><b><strong>Excess Breast Tissue:<\/strong><\/b> Substantial growth of breast tissue contributes to a feminine look.<\/li>\n<\/ul>\n\t<h3 dir=\"ltr\">Common Affected Groups:<\/h3>\n<ul>\n<li value=\"1\">Males aged <b><strong>40 to 60 years<\/strong><\/b><\/li>\n<li value=\"2\">Young obese males in their <b><strong>20s and 30s<\/strong><\/b><\/li>\n<\/ul>\nFor Grade 4 gynecomastia patients, surgical correction is often the most effective treatment to address the excess breast tissue and restore a more masculine chest appearance. Grade 4 gynecomastia is a severe form of breast enlargement. It features excess skin and a downward nipple position over 1 cm below the inframammary fold. This condition results in a significant droop, often requiring surgical treatment.\n<h3 dir=\"ltr\">Key Features:<\/h3>\n<ul>\n<li value=\"1\"><b><strong>Excess Skin<\/strong><\/b>: Leads to a breast roll and horizontal chest fold extending to the axilla.<\/li>\n<li value=\"2\"><b><strong>Nipple Position<\/strong><\/b>: Major drooping necessitates repositioning, usually via nipple grafts.<\/li>\n<\/ul>\n<h3 dir=\"ltr\">Causes:<\/h3>\n<ul>\n<li value=\"1\"><b><strong>Hormonal Imbalance<\/strong><\/b>: High estrogen or low testosterone levels.<\/li>\n<li value=\"2\"><b><strong>Influencing Factors<\/strong><\/b>: Adolescence, genetics, medications, stress or <a href=\"https:\/\/www.webmd.com\/men\/anabolic-steroids\" target=\"_blank\" rel=\"noopener\">anabolic steroids and bodybuilding<\/a><\/li>\n<\/ul>\n<h3 dir=\"ltr\">Treatment:<\/h3>\n<ul>\n<li value=\"1\"><b><strong>Surgical Approach<\/strong><\/b>: Aimed at complete skin excision and tissue removal.<\/li>\n<li value=\"2\"><b><strong>Outcome Goal<\/strong><\/b>: Tight, masculine chest contour.<\/li>\n<\/ul>\nThese changes can make the chest appear similar to female breasts. A comprehensive surgical treatment is often needed to correct these issues and restore a more masculine chest contour. This may involve gynecomastia surgeries, such as breast reduction surgery or the use of nipple grafts, to remove excess breast tissue effectively.\nPatients dealing with grade 4 gynecomastia frequently seek help from experienced gynecomastia surgeons. These surgical treatments are essential to address both the hormonal imbalance causing breast tissue growth and the physical changes associated with this severe form.\n<h3 dir=\"ltr\">Characteristics of Grade 4 Gynecomastia:<\/h3>\n<ul>\n<li value=\"1\"><b><strong>Excessive Skin<\/strong><\/b>: Leads to sagging and drooping.<\/li>\n<li value=\"2\"><b><strong>Nipple Displacement<\/strong><\/b>: Typically more than 1 cm below the fold.<\/li>\n<li value=\"3\"><b><strong>Breast Enlargement<\/strong><\/b>: Severe and noticeable.<\/li>\n<\/ul>\n<h3 dir=\"ltr\">Surgical Treatment Options:<\/h3>\n<ol>\n<li value=\"1\"><b><strong>Gland excision and liposuction<\/strong><\/b><\/li>\n<li value=\"2\"><b><strong>Peri-areolar Nipple and Areola Lift or Wedge Excision<\/strong><\/b><\/li>\n<li value=\"3\"><b><strong>Nipple Grafts and Repositioning<\/strong><\/b><\/li>\n<\/ol>\nSurgery often involves general anesthesia. A complete excision of excess skin and glandular tissue is needed in addition to liposuction. This may also include repositioning the nipple as a graft or by transposition to achieve a masculine chest contour.\n<h3 dir=\"ltr\">Important Considerations:<\/h3>\n<ul>\n<li value=\"1\">Evaluate remaining skin post-surgery for optimal results.<\/li>\n<\/ul>\nEffective treatment of grade 4 gynecomastia involves correcting the imbalance, removing excess tissue, and achieving a natural, firm chest appearance. Proper surgical techniques are essential for lasting recovery, addressing both aesthetic concerns and physical discomforts.\n\t<p>Dr. Babak Moein, MD, FACS, is a renowned gynecomastia specialist based in Los Angeles, CA, boasting an impressive surgical career that spans more than 24 years. His extensive experience in the field equips him with a deep understanding of the complexities associated with male breast enlargement, allowing him to provide tailored treatment plans for patients of all ages.<\/p>\n<p>Gynecomastia treatment goals of <a href=\"https:\/\/gynecomastiala.com\/about\/staff-of-gynecomastia-center\/\">Dr. Moein and his professional team<\/a> include:<\/p>\n<ol>\n<li>Categorize gynecomastia type.<\/li>\n<li>Assess overall patient health and medical history.<\/li>\n<li>Identify patient objectives.<\/li>\n<li>Develop an ideal treatment strategy.<\/li>\n<li>Discuss potential risks and benefits of treatment options.<\/li>\n<\/ol>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gynecomastiala.com\/wp-content\/uploads\/2024\/10\/Dr.moein_.webp\" alt=\"Gynecomastia Surgeon Dr.moein in Los Angeles, CA\" itemprop=\"image\" height=\"560\" width=\"448\" title=\"Dr.moein\" onerror=\"this.style.display='none'\"  \/>\n<h2>\n\t\tAnatomy of Type 4 Gynecomastia\n\t<\/h2>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gynecomastiala.com\/wp-content\/uploads\/2024\/12\/Anatomy-of-Type-4-Gynecomastia-Los-Angeles-CA.webp\" alt=\"Anatomy of Type 4 Gynecomastia- Los Angeles, CA\" itemprop=\"image\" height=\"533\" width=\"800\" title=\"AnatomAnatomy of Type 4 Gynecomastia- Los Angeles, CAy of Type 4 Gynecomastia- Los Angeles, CA\" onerror=\"this.style.display='none'\"  \/>\n\tType 4 gynecomastia is marked by a significant enlargement of the chest, where the angle ranges from 60 to 90 degrees. This results in noticeable breast sagging and displacement of the areola downwards, mimicking sagging female breasts. The enlarged areolas often point downward due to excess breast tissue and skin.\nHere&#8217;s a breakdown of key features:\n<ul>\n<li value=\"1\"><b><strong>Breast Tissue Growth:<\/strong><\/b> Involves a combination of glandular and fatty tissue.<\/li>\n<li value=\"2\"><b><strong>Excess Skin:<\/strong><\/b> Leads to sagging appearance and requires surgical removal.<\/li>\n<\/ul>\n\t<ul>\n<li value=\"3\"><b><strong>Areola Position:<\/strong><\/b> Areola and nipple shift to a lower position.<\/li>\n<li value=\"4\"><b><strong>Chest Contour:<\/strong><\/b> Resembles more feminine contours without intervention.<\/li>\n<\/ul>\nSurgical treatment for this severe form generally involves a mastectomy. This operation removes excess skin and breast tissue, helping restore a more masculine chest contour.\nFactors contributing to the condition include hormonal changes, genetics, drug use, and sometimes<a href=\"https:\/\/www.yalemedicine.org\/conditions\/endocrine-cancer#:~:text=Endocrine%20tumors%20develop%20when%20abnormal,tumors%20are%20benign%20(noncancerous).\" target=\"_blank\" rel=\"noopener\"> tumors in hormone-producing glands<\/a>. Each of these can lead to an imbalance, triggering excessive development of breast tissue. Optimal treatment for grade 4 gynecomastia often involves consultation with experienced gynecomastia surgeons to discuss treatment options like surgical techniques, including nipple grafts, for effective correction.\nGynecomastia involves the abnormal development of glandular breast tissue in males due to hormonal imbalances. This condition often results in breast tissue growth that mirrors female breasts. It is common in newborns, adolescents, and young adults, with puberty being the most common stage. The hormonal imbalance usually involves an <a href=\"https:\/\/www.medicalnewstoday.com\/articles\/estrogen-in-men#:~:text=Although%20the%20male%20body%20needs,levels%20should%20contact%20their%20doctor.\" target=\"_blank\" rel=\"noopener\">excess of estrogen relative to testosterone<\/a>.\n<h3>\n\t\tKey Characteristics of Grade 4 Gynecomastia:\n\t<\/h3>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gynecomastiala.com\/wp-content\/uploads\/2024\/12\/Key-Characteristics-of-Grade-4-Gynecomastia.webp\" alt=\"Key Characteristics of Grade 4 Gynecomastia:\" itemprop=\"image\" height=\"533\" width=\"800\" title=\"Key Characteristics of Grade 4 Gynecomastia\" onerror=\"this.style.display='none'\"  \/>\n\t<ul>\n<li value=\"1\"><b><strong>Chest Angle:<\/strong><\/b> 60-90 degrees<\/li>\n<li value=\"2\"><b><strong>Tissue Involvement:<\/strong><\/b> Glandular and fatty<\/li>\n<li value=\"3\"><b><strong>Areola Position:<\/strong><\/b> Enlarged, downward-pointing<\/li>\n<li value=\"4\"><b><strong>Treatment:<\/strong><\/b> Requires excess skin removal<\/li>\n<li value=\"5\"><b><strong>Goal:<\/strong><\/b> Achieve a masculine chest<\/li>\n<\/ul>\nChoosing an experienced gynecomastia surgeon is crucial. They can provide advice on the best surgical treatment options. A proper correction of gynecomastia helps restore confidence and achieve a more desirable chest appearance.\n\tGrade 4 gynecomastia involves significant breast enlargement and excess skin. Surgical treatment aims to achieve an optimal chest contour. Two main surgical techniques are the donut lift and the anchor lift. Each has specific benefits depending on the patient&#8217;s skin condition and expectations.\nThe donut lift provides slight tightening. It is suitable for Type 3 and some Type 4 cases. This depends on skin quality and laxity. It offers moderate correction and will not suit every Grade 4 patient.\nConversely, the anchor lift is recommended for older patients or those with significant skin laxity and stretch marks. This method allows more extensive correction of the chest area due to its comprehensive approach.\nDeciding on a technique involves assessing the amount of excess skin. Patient expectations also play a crucial role in choosing between these options. In many cases, effective treatment may involve a combination of techniques, including skin excision and nipple repositioning.\n\t<h3 dir=\"ltr\">Types of Breast Enlargement<\/h3>\n<ul>\n<li value=\"1\"><b><strong>True Gynecomastia<\/strong><\/b>: Involves glandular tissue growth.<\/li>\n<li value=\"2\"><b><strong>Pseudogynecomastia<\/strong><\/b>: Caused by fatty tissue due to obesity.<\/li>\n<\/ul>\nMen may experience physical and emotional challenges, such as pain and self-consciousness. This often leads to avoiding activities that reveal the condition, like swimming or gym workouts.\n\t<h2 dir=\"ltr\">\u00a0What is Treatment Options For Grade 4 Gynecomastia?<\/h2>\n\tGynecomastia surgeries are an <a href=\"https:\/\/gynecomastiala.com\/gynecomastia-treatment\/\">effective treatment for those with severe forms of gynecomastia<\/a>. The Pull-through technique is a common surgical treatment that removes excess skin and tissue, preserving the nipple to maintain a masculine chest contour. This procedure often helps alleviate both physical discomfort and psychological distress in gynecomastia patients.<br \/>\nSurgical treatment is a common approach for correcting grade 4 gynecomastia. Procedures such as mastectomy or <a href=\"https:\/\/gynecomastiala.com\/high-definition-liposuction-in-gynecomastia\/\">liposuction<\/a> are tailored to manage excess breast tissue and skin sagging.\n<p>Treatment Options<\/p>\n<ul>\n<li>Direct gland excision: Removes glandular breast tissue.<\/li>\n<li>Liposuction: Targets excess fatty tissue.<\/li>\n<li>Wedge excision: Eliminates excess skin by utilizing an incision along the inframammary crease.<br \/>\nNipple grafting or<\/li>\n<li>transposition: Allows the nipple and areola to be repositioned in an appropriate and more aesthetically pleasing.<\/li>\n<li>\n<a href=\"https:\/\/gynecomastiala.com\/services\/vaser-j-plasma-renuvion\/\">VASER Liposuction &amp; J-Plasma<\/a> Technology (Renuvion): two new technologies<br \/>\n\n<\/li>\n<\/ul>\n<h2>\n\t\tGrade 4 Gynecomastia Summary\n\t<\/h2>\n\t<p>In conclusion, grade 4 gynecomastia results in significant deformity requiring surgical intervention. Due to the severity of the deformity, more invasive surgical excisions are a commonality in clients desiring aesthetic improvement. If you are interested in undergoing grade 4 gynecomastia, we encourage you to make a <a href=\"https:\/\/gynecomastiala.com\/contact-us\/\">consultation with Dr. Moein to discuss your options<\/a>.<\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Grade 4 Gynecomastia: Severe Breast Enlargement Overview: Significant Breast Roll For many individuals, physical appearance significantly impacts self-esteem, and conditions like gynecomastia can lead to emotional distress. Gynecomastia, the enlargement of breast tissue in males, varies in severity, with Type 4 representing a pronounced level of enlargement. Type 4 gynecomastia is characterized by moderate breast [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-38717","page","type-page","status-publish","hentry"],"rankMath":{"parentDomain":"gynecomastiala.com","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"The featured image should be at least 200 by 200 pixels to be picked up by Facebook and other social media sites.","pluginReviewed":false,"postSettings":{"linkSuggestions":true,"useFocusKeyword":false},"frontEndScore":false,"postName":"grade-4-gynecomastia","permalinkFormat":"https:\/\/gynecomastiala.com\/%pagename%\/","showLockModifiedDate":true,"assessor":{"focusKeywordLink":"https:\/\/gynecomastiala.com\/wp-admin\/edit.php?focus_keyword=%focus_keyword%&post_type=%post_type%","hasTOCPlugin":{"joli-table-of-contents\/joli-table-of-contents.php":"Joli TOC","bb-ultimate-addon\/bb-ultimate-addon.php":"Ultimate Addons for Beaver Builder"},"primaryTaxonomy":false,"serpData":{"title":"Grade 4 Gynecomastia:How to Treat Severe Male Breast Growth","description":"Grade 4 gynecomastia surgery removes significant excess tissue. 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