Is that lipomastia or gynecomastia? (Photos)

Question

My chest is like that long time like 4 5 years. No any hormonal disorder. Is that lipomastia or ginecomastia? And can be fixed by exercises or need liposuction?

Alexander Q. Ereso, MD, FACS · Answer

Thanks for your question and posting your photos. Unfortunately, a physical exam is necessary to determine whether the heaviness of your chest is due to fat alone (lipomastia) of whether there is a glandular component (gynecomastia). If due to the presence of glandular tissue, liposuction alone will not correct the glandular excess and steps should be undertaken to remove the glandular tissue. I rarely find a a case where liposuction alone fully corrects the condition. Rather, there is always the presence of some glandular tissue that if left, will lead to some degree of nipple prominence. My advice is to seek a consultation with a plastic surgeon with experience in treating gynecomastia. Good luck!

Larry S. Nichter, MD, MS, FACS · Answer

Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.

Robert M. Tornambe, MD · Answer

Judging from your photos, it appears that you have moderate gynecomastia, likely cause by a combination of breast tissue and fat. Diet and exercise may help, and I would try that first. Otherwise,surgical treatment with liposuction appears to be a solid option. Be sure to consult with a board certified plastic surgeon. Good luck!

Jed H. Horowitz, MD, FACS · Answer

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia."Puffy Nipple Areola Complex" is among the most common forms of gynecomastia. This gland and/or adipose tissue accumulation can be located under the areola or can be slightly extended outside the areola, causing the areola to appear dome shaped.This form of #Gynecomastia can be found in all age groups but is more common in young adults.There are three types of surgical #treatment #options available that treat gynecomastia. Assymetric or Unilateral Gynecomastia appears in either one or both breasts at different degrees. In many cases one breast appears larger than the other. Surgery is a common treatment for this type of gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Unfortunately without an in-person examination it is difficult to diagnose you as either gynecomastia or pseudogynecomastia.  I would recommend seeing an ASPS board certified plastic surgeon in consultation to obtain a diagnosis.  If pseudogynecomastia, you can try diet and exercise for improvement with any residual material being treated by liposuction.  If gynecomastia, your diet and exercise will not make a substantial improvement and you will need both direct glandular excision as well as liposuction for treatment.  Hope this helps.

Ron Hazani, MD, FACS · Answer

I would recommend an in person consultation. Seek a plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

Mordcai Blau, MD · Answer

To correct the gynecomastia and improve the true gynecomastia your only option is surgical excision of the gland and in addition you may need also some liposuction

Steven Wallach, MD · Answer

You would have to be seen in person to be properly evaluated. An exam in person would be beneficial.  Good luck.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Accurate diagnosis would necessitate physical examination. It IS important to differentiate  as uncomfortable as gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis.

Generally speaking, liposuction surgery alone is useful to treat lipomastia (an enlarged chest secondary to adipose tissue); rarely does it suffices as the only modality of treatment when it comes to treating true gynecomastia. Most patients with gynecomastia benefit from direct excision of glandular tissue plus/minus peripheral liposuction surgery.

My best suggestion: get to where you want to be through healthy diet/exercise, if you are not already there.  Then, if you remain concerned about the appearance of the chest wall, seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. You may find the attached link helpful to you as you learn more. Best wishes.

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