Grade 3 Gynecomastia Surgery - Causes, Symptoms & Treatment

Grade 3 gynecomastia is a moderate to severe stage where there is significant breast growth and loose skin,giving the chest a more feminine appearance. This stage is easily noticeable and often leads to both physical discomfort and emotional distress. Treatment generally requires liposuction and mastectomy to remove excess tissue and skin, restoring a natural-looking, firm, and masculine chest contour.

Learn more about Grade 3 gynecomastia treatment  your free consultation today with one of the leading experts in gynecomastia surgery.

What is Grade 3 Gynecomastia ?

Male breast tissue expansion, also known as gynecomastia, can be classified into various stages according to its severity. Significant breast growth and extra skin are the main symptoms of grade 3 gynecomastia, a more advanced stage that is more apparent and frequently causes both physical and mental distress. 

Drooping, a more prominent chest appearance, and even social anxiety are some symptoms of stage 3 gynecomastia in men. It can affect one’s self-esteem and general well-being if untreated. 

Restoring a masculine chest contour can be facilitated by being aware of the different grades of gynecomastia and pursuing the appropriate treatment. By reading on, discover the causes, consequences, and remedies for type 3 gynecomastia.

Grade 3 gynecomastia is an advanced stage of male breast enlargement, characterized by significant excess glandular tissue and fat, along with noticeable skin sagging. At this point, the illness can cause psychological distress and problems with self-esteem in addition to physical appearance.

What Are the Causes of Grade 3 Gynecomastia?

Causes of Grade-3 Gynecomastia

Gynecomastia can develop due to various factors, including:

  1. Hormonal Imbalance – An excess of estrogen or a deficiency of testosterone can lead to abnormal breast tissue growth.
  2. Obesity – Increased fat levels can contribute to gynecomastia by converting androgens into estrogens.
  3. Medications – Certain drugs, including steroids, anti-androgens, and antidepressants, can trigger gynecomastia.
  4. Medical Conditions – Liver disease, kidney failure, thyroid disorders, and tumors can affect hormone balance and cause breast tissue enlargement.
  5. Puberty and Aging – Hormonal fluctuations during puberty and aging may result in gynecomastia.
  6. Substance Abuse – Alcohol, marijuana, and anabolic steroids are linked to hormonal disturbances leading to gynecomastia.

What does Grade 3 gynecomastia feel like?

What is Grade-3 Gynecomastia?

Symptoms of Grade 3 Gynecomastia are as follows:

  • Noticeable swelling of the chest area, giving a feminine appearance.
  • Due to prolonged tissue expansion, the skin around the breast area starts to sag.
  • Some individuals may experience mild to moderate discomfort.
  • Increased anxiety, embarrassment, and reduced confidence.

How Is Grade 3 Gynecomastia Diagnosed?

gynecomastia grade 3

A grade 3 gynecomastia diagnosis is made by taking a physical exam and reviewing medical history and diagnostic tests.

 The doctor will perform a physical examination to detect fat deposits and enlarged glandular tissue. 

All other types of body parts are excluded from the screening process. 

Examining the patient’s medical history, they will evaluate for any medications prescribed, untreated health conditions, or hormonal changes that may result in gynecomastia.

 Imaging tests like ultrasound and mammography confirm the diagnosis by examining the composition of the breast tissue. In addition, 

blood analysis can detect any imbalances in estrogen and testosterone levels through hormonal tests. 

Treatment Options for Grade 3 Gynecomastia

stage 3 gynecomastia

Surgical Treatment

Surgery tends to be the best plan to take for grade 3 gynecomastia since it causes sagging skin and considerable tissue expansion. The two primary steps are:

  • Liposuction: This procedure eliminates extra fat without affecting glandular tissue.
  • Gland excision (mastectomy): In order to restore a male chest contour, glandular tissue and extra skin are removed during a gland excision (mastectomy).

Non-Surgical Approaches (Limited Effectiveness in Grade 3)

  • Medication: Selective estrogen receptor modulators (SERMs) are generally unsuccessful for grade 3 but may be helpful in the early stages.
  • Lifestyle Modifications: Although they may not wholly cure gynecomastia at this point, weight loss, consistent exercise, and abstaining from drugs that aggravate the problem can help control it.

Grade 3 Gynecomastia Before and After Surgery

Patients undergoing surgery for grade 3 gynecomastia often see a dramatic improvement in chest contour. Before surgery, they may have significant sagging and enlarged tissue, while after surgery, the chest appears flatter and more masculine. Proper post-surgical care, including wearing compression garments and following medical advice, ensures the best results.

 

Aspect

Before Surgery

After Surgery

Chest Appearance

Enlarged, sagging tissue with excess fat

Flatter, firmer, and more masculine contour

Skin Elasticity

Loose and stretched due to excess tissue

Improved firmness with better skin retraction

Physical Comfort

Discomfort, heaviness, and possible pain

Lighter, more comfortable, and pain-free

Clothing Fit

Tight, ill-fitting clothes, difficulty wearing fitted shirts

It is more straightforward to wear fitted clothing with confidence

Psychological Impact

Low self-esteem, social anxiety

Boosted confidence and improved self-image

Grade 3 gynecomastia may impact mental health and physical appearance. Surgery is frequently the best treatment at this point, although lifestyle modifications and medicines may be helpful in the early stages. If you exhibit symptoms of grade 3, it is crucial to get an examination and treatment from a crucial surgeon.

If you are struggling with grade 3 gynecomastia, consult a specialist today to explore the best treatment options. Consult Dr. Ashish Kahre today for the best guidance for grade 3 gynecomastia.

FAQs

Can grade 3 gynecomastia go away on its own?

No, surgery is usually required to remove excess tissue and skin at this stage.

Is gynecomastia surgery safe?

When performed by a qualified surgeon, gynecomastia surgery is safe with minimal risks.

How long is the recovery after gynecomastia surgery?

Most patients recover within 4-6 weeks, with final results visible in a few months.

Will exercise help with grade 3 gynecomastia?

Exercise can reduce fat but cannot eliminate glandular tissue or excess skin.

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RS
Sharath City: Gurgaon
★★★★☆ 4.5/5

I had my gynecomastia stage 3 surgery in Gurgaon at Kalosa Aesthetics, and overall, it was a very good experience. Thanks to Dr. Khare and his team for guiding me through the whole process. The surgery took 3 hrs, and it is not painful.

RS
Rohit Sharma City: Gurgaon
★★★★☆ 4.5/5

Great experience! The staff was professional and caring. Everything was explained clearly, and the results exceeded my expectations. Highly recommend!

DJ
Dhiraj City: Noida
★★★★★ 5/5

As a medical professional, I was impressed by the skill and care at Kalosa Clinic in Gurgaon. Dr. Khare explained the gynecomastia procedure clearly, answered all my questions, and made sure I was comfortable. The after-surgery care was great, and the results were just as expected. This is a top clinic that puts patients first.

Happy Patient Review After Gynecomastia Surgery

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Dr. Ashish Khare

Dr. Ashish Khare

20+ Years Experience

Dr. Ashish Khare is an internationally trained plastic and cosmetic surgeon and the owner of KALOSA Aesthetics and Cosmetics Clinic in Gurgaon, established over 20+ years ago. He has vast expertise with more than 20+ years in the field of plastic surgery...

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Qualification and Experience
  • 2005: MBBS from UCMS College, New Delhi
  • 2009: MS degree from Lady Hardinge Medical College, New Delhi
  • 2014: MCh in Plastic Surgery, SMS Medical College, Jaipur
  • 2014-2015: Fellowship in Reconstructive Microsurgery, Medanta Hospital, Gurgaon
  • 2017 – Till Date: HOD of Plastic Surgery, Medeor Hospital, New Delhi

Appointments: ‪+91 9818816485‬ | teamkalosa@gmail.com

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✅ Medically Reviewed

Medically reviewed by Dr. Ashish Khare — Written by Content Team on December 18, 2025

Disclaimer for Surgery Risks & Recovery

The information provided on this page is for educational purposes only and should not be considered as medical advice. Every surgery carries potential risks such as swelling, bruising, temporary numbness, or minor scarring. Recovery timelines may vary depending on individual health conditions. Please consult Dr. Ashish Khare at Kalosa Clinic for a personalized assessment before making any medical decisions.