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Surgeon in modern operating room setting.

Understanding Chest Fold Angle in Gynecomastia Cases

Chest Fold Angle

  • Chest fold angle is the easiest way to determine gynecomastia type.
  • Vertical skin excess is the most accurate way of determining gynecomastia type.
  • Dr. Cruise determines surgical treatment based on gyne. Type.
Gyne Type Chest fold angle
Type 1 < 45
Type 2 < 60
Type 3 60-90
Type 4 > 90

Pencil test – place a pencil 2 cm above your chest fold to simulate reconstruction of the chest fold support system and correction of rounded chest. This 2 cm area of skin needs to be flat because leaving a persistent skin fold fails to recreate a masculine chest. In addition, it looks like there is persistent breast tissue.