Do I Have Asymmetrical Gynecomastia? (photo)

Breast #asymmetry is the condition when both breasts are not equal in size. In men, gynecomastia can include only one or both breasts. #Unilateral gynecomastia occurs when only one breast is larger due to gynecomastia, while the other breast is typically normal in both size and shape. #Bilateral asymmetry occurs when gynecomastia is present in both breasts, although each to a different degree. The amount of glandular tissue can affect the size, shape, and location on the chest wall of the enlarged area, the size of the areolas, and protrusion and diameter of the nipples.

Unequal or unilateral gynecomastia is not an uncommon condition. It is more significant when there are very noticeable differences between the two breasts. Usually, the degree of difference between the two breasts is not severe. Through a study of his patients, however, more than 80% of male breasts are not symmetrical, but the severity varies greatly from patient to patient. Patients should take this into consideration while examining their chests prior to surgery.In addition to correcting the difference between breast sizes, the #areola often shrinks when #gynecomastia excision is performed. In more pronounced cases, the areola may even be larger. When the glandular tissue is removed, the areola #symmetry may improve.The conditions that make up #asymmetry can often be corrected to some degree. It is very individual and varies for each patient. Every prospective surgical candidate should discuss this condition with an experienced plastic surgeon prior to surgery. The plastic surgeon’s role is to educate each individual patient as to the possible degree of improvement that can be realistically achieved in his particular case.

Asymmetrical gynecomastia can be treated with selective liposuction to reduce glandular tissue on the breast. 

The common condition known as gynecomastia is characterized by enlarged breast tissue and affects an astonishing 40 to 60% of men.    Assymmetry of the breasts is not uncommon and one breast can be bigger than the other , as it appears in your photo.  Fortunately, the condition is easily reversed with liposuction just by making a small incision under the nipple. I tend to use a type of liposuction that involves ultrasound to liquefy the fat to make its removal easier. Whatever the method used, the surgeon will eventually suck out the fat and glandular tissue from around the areola and from the sides and bottom of the breasts. Because liposuction stimulates the skin to tighten, good elasticity provides a smooth contour after fat is removed. This  procedure could provide the symmetry that you are looking for without visible scars.

Left side looks normal, right side has gynecomastia. This is not unusual. 

Surgery should improve this. Liposuction will probably be offered, and if there is firm breast tissue under the nipple and areola, some direct excision may be suggested too.

When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S.
Thank your for your question, best wishes.

Based only on the posted photos you appear to have unilateral slight excess of fat/breast tissue on your right side. Liposuction will improve this. Seek some in person evaluations from boarded PSs 

Gynecomastia or the development of female breast tissue is very common and can be asymmetric.  The best treatment is difficult without an examination.  The options include direct excision for glandular tissue, liposuction of fatty tissue, or a combination of both.  It wouldn’t surprise me if your plastic surgeon performs both.  You should also be seen by your primary care physician to determine if there is an underlying cause to your gynecomastia.

Unilateral gynecomastia is not uncommon, that is what you may have on the right side.

One need to examine the chest waal (ribs) make sure you have even rin convexity.

Then evaluate how much gland and how much fat there is. On that basis, a surgical plan can be planned.

Excision gynecomasia

liposuction

or the combination to get you as symmetrical as possible

Just like female breasts, men can have asymmetry too. Unilateral gynecomastia can be treated sometimes by liposuciton, excision  or a combination of the two.

from this picture it looks like you may have gynecomastia of your right breast.It is not uncommon and because of your body type it appears to be most likely glandular type which may require excision of the gland, 

It appears that you do have unilateral gynecomastia

It may be possible to correct it by liposuction alone .This will be determined at exam