Grade two describes where the breast tissue continues to grow and spreads beyond the pink areola. The swelling on the chest wall will become more noticeable. The edges of the gynecomastia remain indistinct, blending in with the rest of the chest wall. This grade is described as anywhere between mild and severe depending on the amount of growth. Treatment may be possible for this grade of swelling. Each man’s gynecomastia is different, and it’s important to discuss the best options with a doctor or surgeon who is experienced in treating the condition.