Grade IV Gynecomastia: Breast Resembling Female One

presents breasts that closely resemble female breasts. Characteristics include a significant increase in volume, enlarged areola, well-defined sub-mammary fold, presence of cutaneous striae, nipple-areola complex (NAC) projected below the inframammary fold, and a distance between the fold and areolar margin exceeding 4 cm. Patients with Grade IV gynecomastia typically exhibit a high BMI, with significant fat deposits in zones four and three. Mammary adiposity often dominates over glandular hypertrophy in these cases. Patients with childhood obesity, especially ex-obese individuals experiencing ptosis due to weight loss, fall into this category.

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Is recurrence possible after gynecomastia surgery ?

According to books and literature, complete gland excision is not always necessary; often, removal of only the central part of the gland is sufficient in male breasts, but this may lead to recurrence. Dr. Gaurav, however, opts for complete gland removal, reducing the likelihood of gynecomastia recurrence. Having performed over 3000 gynecomastia surgeries, he has encountered only 500 cases of recurrence, outcomes from other doctors.

Aesthetic Art- Dr. Gaurav Shalya | Gynecomastia | Rhinoplasty & lipoma| Liposuction & Tummy Tuck Surgeon in Mumbai