What is gynecomastia


Gynecomastia is the increase in size of male breasts due to hypertrophy and hyperplasia of the mammary tissue or fatty tissue (false gynecomastia) or both

Gynecomastia comes from the Greek words “gyne” and “mastos” which mean woman and breast, respectively and refers to any condition that causes excessive growth of the male breast tissue.

The male breast consists of the mammary gland and fat called adipose tissue. Patients with advanced gynecomastia have excess skin and sagging breasts.

Galen, the prominent Greek physician of the Roman Empire, was the first to use the word “gynecomastia” in the 2nd century AD to describe the unusual growth of male breast tissue.

Paul of Aegina, one of the pioneering physicians in Byzantium, described the first breast surgery for treating gynecomastia in the 7th century AD.

The problem

Patients who suffer from gynecomastia find no sympathy and feel ashamed and embarrassed.

Coaches, other kids, even parents may cause psychological trauma to patients with gynecomastia.

Patients must seek information about what exactly gynecomastia is and how they can handle the situation.

Gynecomastia therefore involves the increase in size of the male breast. The growing tissue may consist of the mammary gland or the fatty tissue or a combination thereof. Some cases may also involve excess skin as well as sagging breasts.

Pictures of Gynecomastia




Patients present with enlarged breasts which are also asymmetric in 1/3 of cases. Some patients develop gynecomastia on one breast only.

There are 3 types of gynecomastia as per the Webster’s Classification (1934)

Type 1. Patients with enlarged mammary gland; treated through surgery.

Type 2. Patients with fatty tissue and enlarged mammary gland – pseudo gynecomastia – treatment through liposuction and surgery.

Type 3. This is type 1 and type 2 combined with excess skin.

Simon’s classification of gynecomastia (1973).

  1. Small yet visible increase of breast size

2a. Moderate increase of breast size but normal skin.

2b. Moderate increase of breast size and small degree of excess skin.

3 Very large breast. Breast ptosis. Large degree of excess skin.


See the testimonials


Read more

Είπαν για εμάς


Subscribe to our newsletter and stay updated on the latest developments on plastic and aesthetic surgery.