Grade 4 Gynecomastia

Advanced Techniques for Grade 4 Gynecomastia Surgery in Gurgaon Delhi NCR

What Is Grade 4 Gynecomastia?

Gynecomastia Overview

Grade 4 gynecomastia classification is one of the most advanced male breast enlargement stages, presenting marked breast tissue as well as an excess of skin. 

It leads to a chest contour that is female-like. Grade 4 gynecomastia greatly influences self-esteem, and it is mainly viewed as a condition requiring surgical intervention for complete and effective treatment. In this article, we will discuss about Grade 4 Gynecomastia.

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What is the Grading gynecomastia?

Gynecomastia grading refers to the classification of breast tissue enlargement in males: 

Grade 1: Slight enlargement without skin overhang.

 Grade 2: Moderate enlargement without excess skin.

 Grade 3: Moderate enlargement with excess skin.

 Grade 4: Gross enlargement with apparent excess skin and feminized chest.

 Grade 4 Gynecomastia: Signs and Symptoms Grade 4 gynecomastia occurs accompanied by significant enlargement that leaves loose skin as well as saggy.

 Men often shy away from wearing fitted clothing or participating in activities that require them to remove their shirts because of this condition. 

This grade of gynecomastia often leads to a round, bulging chest that resembles that of the female chest, hence is psychologically complex to handle.

Grade 4 gynecomastia Treatment Videos By Dr Ashish khare

Best Gynecomastia Surgery in Delhi: Before & After Results, Cost, Dr. Ashish Khare (Kalosa Clinic)
Puffy Nipples Surgery in Gurgaon Delhi NCR - What You Must Know Before Treatment

Causes of Grade 4 Gynecomastia

A wide range of causes can induce gynecomastia:

 

Imbalance of Hormones: An increase in estrogen or decrease in testosterone brings about the growth of breast tissue.

  • Puberty-related hormonal fluctuations.
  • Aging-related testosterone decline.
  • Medical conditions like hypogonadism or hyperthyroidism.

 

 

Medications: Certain drugs can trigger gynecomastia, such as anti-androgens, anabolic steroids, and other chosen antidepressants.

  • Certain drugs can disrupt hormone levels, leading to gynecomastia. These include:
  • Anti-androgens for prostate health.
  • Anabolic steroids and hormone therapy.
  • Antidepressants, antipsychotics, and cardiovascular medications.

 

  • Obesity: There are excess fat tissues, which may increase estrogen levels, thus raising the risk of gynecomastia

  • Genetic Factors: The family history may be a contributing factor to how severe the gynecomastia will be.

Satisfied Patient Review

EXCELLENT
Based on 52 reviews
Jaspreet Kaur
Jaspreet Kaur
2023-04-13
Dr. Ashish Khare is undoubtedly the best cosmetic and plastic surgeon in Gurgaon. I had a head injury with a skull deep cut on my forehead. I was scared that the sutures will leave a lifelong scar. Dr. Khare did the procedure so patiently and kept motivating me positively that there will be a very light scar and I need not worry about it. Its been a while since I got the sutures and the scar is hardly visible. His staff was also very warm and supportive and his clinic is clean and well equipped with all latest amenities. He is definitely your go to person for any plastic or cosmetic surgery. Thankyou once again Dr Khare.
Vijay Arya
Vijay Arya
2023-03-29
I was suffering from excess skin over my upper eyelids since a long and I was looking for a option for that. I met Dr. Ashish Khare, he made me comfortable and we planned my blepharoplasty procedure also called as double eyelid surgery, today doctor cut my sutures and im very happy with the results. Thanks Dr Ashish Khare and team Kalosa .
S
S
2022-12-01
I was suffering from gynaecomastia from a long time. I was searching a lot about whom to consult this. After searching a lot, I came to know about doctor Ashish. In our first meeting, he made me comfortable and told everything about the procedure and cleared all the confusion that I had in my mind. Even after our meeting, I called him so many times and each time he picked up my call and answered all my queries. I finally decided to undergo this surgery. Now, its been a month after the surgery, I am very happy with the results and feel quite confident about my body. Thanks to doctor Ashish and his staff.
Soniya Sharma
Soniya Sharma
2022-10-31
I was suffering from small breast since a long time . I wanted a solution for that as I feel very low in self esteem and confidence , I came to know about Dr Ashish Khare at Kalosa Cosmetics . The doctor told me about implant and I underwent breast implant surgery by Dr Ashish . I did not tell anyone about the procedure , the doctor and team took proper care of me during and after the procedure . It was a day care surgery and really painless . My dressing was removed after 48 hrs and I can see the difference . I was really very happy with the results and I truly recommend Dr Ashish Khare and kalosa cosmetics for breast implant surgeries as well as breast reduction surgery . In my opinion Dr Ashish Khare is best plastic surgeon in this field . Really appreciate the doctor .
Kajal Jyani
Kajal Jyani
2022-10-15
Was looking for the best breast surgeon in Gurgaon for Breast Implant. Finally, a friend told me about Dr. Khare. I visited him. He told me everything about Breast Implant and before 15 days ago my Breast Implant surgery has been done by him. Thanks Dr. Khare for your service.
Heena Kharod
Heena Kharod
2022-09-17
“I do not like my nose and i want a nose job done.” Our adult but also a teenager son sprang a surprise on us. We tried our best to convince him that his nose was close to perfect and he didn’t need any surgery. Besides, the after effects of any surgery would be long lasting and sometimes permanent. But he was insistent since he had done a lot of online research on this topic. He felt that he had lost his confidence as he hated his nose and surgery was the only option to regain his lost confidence. We approached Dr.Khare with this issue and shared our son’s pics with him. After seeing his pics, he acted very maturely and understood that the issue with our son was a psychological one – effect of hardly any face to face interactions with people due to 2.5 years of Corona. He acted more like a psychologist and explained to our son in detail about different types of noses, who went for a surgery and why, clearly highlighting the long term effects of a surgery. He also gave personal tips on how to boost confidence by making new friends, developing new hobbies etc. Many times plastic surgeons have to be psychologists, as certain unnoticeable issues with a person’s face that he/she personally dislike are an offshoot of their mind which doesn’t require any surgery or correction. Many plastic surgeons don’t even bother to talk out a young teenager/adult from surgery as it is a part of their business. But definitely not Dr. Khare. After one meeting with him, our son was convinced that he did not need a surgery. Had he been a totally money minded surgeon, he would have convinced our son otherwise. Can’t comment on Dr. Khare's surgical competences ( am sure he would be good at that too ) as have not experienced it, but highly recommend him for his understanding levels and maturity.
Suhail Mustafa
Suhail Mustafa
2022-03-11
Dr. Ashish is one of the few doctors that actually specializes in getting rid of gynecomastia. I had my surgery 3 weeks ago and can say I have never felt so much relief... Even w/ some swelling, my chest looks 100% better. Thanks to Dr. Ashish and his staff!

Transforming Lives: Patient Testimonials

Gynecomastia Surgery Before and After Results
Gynecomastia Surgery Before and After Results

Treatment for Grade 4 Gynecomastia

Gynecomastia Surgery Before and After Results
  • In grade 4, liposuction along with gland excision and usually a combination of fat and breast tissue resection and tightening of the skin for a flat chest is performed. Such advanced procedures that target tissue as well as skin-related problems are carried out under the expertise of Dr. Ashish Khare, one of the best gynecomastia surgeons in Gurgaon.

    This technique involves removing excess tissue and recontouring the chest to give a masculine silhouette. The planned surgical incisions for him aim at minimal scarring with a focus on tightening the skin to achieve natural body contours.


    1. Male Breast Reduction Surgery

    Surgical removal of glandular tissue, fat, and excess skin is the most effective treatment. Techniques include:

    • Subcutaneous Mastectomy: Removes glandular tissue while preserving the natural chest contour.

    • Free Nipple Graft: Used in severe cases to reposition the nipple for a more masculine appearance.

    2. Liposuction

    This minimally invasive procedure removes excess fat and enhances the chest’s overall shape. Often combined with mastectomy, it helps refine the final result.

    3. Hormonal Therapy

    In less advanced cases, balancing hormones through medication may slow or reverse tissue growth. However, this is rarely effective for Grade 4 cases.

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Grade 4 Gynecomastia Recovery and Results

Board Certified Plastic Surgeon (Gynecomastia Surgeon)
    • Complete activities can be resumed within a week, while heavy exercise must be avoided for several weeks. Of course, complete recovery depends from person to person, but by adhering to the postoperative instructions left by Dr. Khare, the healing becomes faster and more durable. Compression garments might be suggested to reduce swelling and attain the desired smoother shape.


    The road to recovery is a crucial phase in achieving optimal results. Here’s what patients can expect:

    • Compression Garments: These help reduce swelling and support the new chest shape.

    • Activity Restrictions: Patients should avoid heavy lifting and strenuous activities for 4-6 weeks.

    • Follow-up Care: Regular check-ups ensure proper healing and address any potential complications.

Satisfied Patient Review

Why Dr. Ashish Khare?

Dr. Ashish Khare specializes in gynecomastia surgery in India, particularly advanced-grade 4 cases.

 According to his observations, an empathetic approach and patient safety can deliver customized treatment plans so that every patient experiences an amiable course of treatment and outstanding results. 

For those whose day-to-day lifestyle is getting influenced by the physical and emotional effects of Grade 4 gynecomastia, 

it would be best for them to find an experienced surgeon like Dr. Khare in Gurgaon to start moving towards a more confident, manly look.

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Frequently Asked Questions (FAQS)

What is Grade 4 Gynecomastia?
Grade 4 gynecomastia is the most advanced form of male breast enlargement. It involves significant breast tissue growth, excess skin, and sagging, resulting in a feminine chest contour.

What causes Grade 4 Gynecomastia?
Hormonal imbalances, obesity, certain medications, or genetic factors can cause this severe form of gynecomastia.

How is Grade 4 Gynecomastia treated?
Treatment often involves a combination of liposuction, gland removal, and skin tightening to achieve a flatter, more masculine chest.

Is gynecomastia surgery painful?
Pain is usually minimal and can be managed with prescribed pain relievers. Dr. Ashish Khare provides post-operative care to ensure comfort during recovery.

How long is the recovery period?
Initial recovery takes about one week, but full results may take a few months. Following Dr. Khare’s care instructions helps ensure a smooth and quick recovery.

Keep in touch.

Kalosa Aesthetics & Cosmetic 
D- 25, Ground floor, South City- 1,
GURGAON – 122001

 +91-8619751479+91-9818816485
0124 – 4019600

 [email protected]

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