The Zones of Gynecomastia - The Gland vs Fat - Austin Gynecomastia Center

After examining thousands of patients, I have developed a Gynecomasia Zone Classification System that helps in patient communication and treatment. It is a simple and effective tool that I use when I evaluate patients in my office or via a Virtual Consultation: https://westlakeplasticsurgery.com/ge...

Zone 0 or “ground zero” is the area immediately behind the nipple areola complex. This is almost always glandular tissue and is responsible for the “puffy nipples” seen in many patients. This is illustrated in my “golf ball gynecomastia” video.

Zone 1 is the anterior chest area that is usually shaped like a horizontal ellipse. This Zone includes Zone 0 and is the most commonly affected area in gynecomastia and creates the breast like appearance. It obscures or rounds off the lower pectoral muscle area that is more masculine if it is flat and linear, which is the appearance after surgery.

Zone 2 is the area lateral to the chest and under the arm. This is never actual gynecomastia tissue but it is commonly full in patients and when treated, the results are far more impressive, smooth and natural. This can extend up to under the armpit area and is a region that I treat to remove the fullness you feel when you move your arms at your side.

Zone 3 is the area just at the apex of the fold or crease of the armpit. This can be full of fat that bulges from the lateral border of the pectoralis muscle. After treatment, the muscle is linear and well defined.

Zone 4 is often seen in patients who are overweight. This is located below the fold at the bottom of the chest and is shaped like a banana. This is seen in about 10% of my patients.

Zone 0 and 1 have gynecomastia tissue present. Zones 2-4 only have fat and are included in my treatment as Chest Contouring to help you obtain the best, most symmetrical, natural-looking and masculine chest.

See 100+ stories with photos of successful gynecomastia surgery by Dr. Caridi: https://westlakeplasticsurgery.com/au...

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