Gynecomastia On One Side. What Can I Do? (photo)

Question

i do have one sided gynecomastia problem i.e on right side of my chest. i feel i had it after my mother once pinched on my chest all of sudden un-noticed when i was in 4th standard.. within few days i felt some pain on my right chest. its seems to be enlarged. i left it out since i felt it may go off after few days but it didn't. i felt embarrassing and didn't inform any one. now i am 21yrs old. i still have that problem i consulted a surgeon. he said it needs to be operated. sugst me soltn.

Jed H. Horowitz, MD, FACS · Answer

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.

S. Larry Schlesinger, MD, FACS · Answer

Without a physical exam, it is hard to tell how much of your gynecomastia is true gynecomastia (breast ducts) and how much is pseudo-gynecomastia (fat on the chest).  All of your pseudo- and some of your true-gynecomastia can be liposuctioned through a very small incision.  If there is residual gland at the end of the liposuction, then an excision of that gland tissue needs to be done.  The outcome of this surgery should be 100% successful.  To that end, consult with a board-certified plastic surgeon who has experience with this sort of male breast issue.

Babak Dadvand, MD · Answer

Hi ram babu,Thanks for the post and photos. Unilateral gynecomastia is not as uncommon as one may think and it is not likely due to the incident you describe in your post. You should be evaluated by a plastic surgeon who specializes in gynecomastia surgery to not only examine the right side but also the left side as well.  Surgery with excision of the excess glandular tissue can have very successful results.Sincerely,Dr. Dadvand

David F. Pratt, MD · Answer

You may have gynecomastia on one side, but you should be examined by a gynecomastia expert to make sure you do not have it on both sides, but with the right worse than the left.  In any case, I treat the majority of my gynecomastia and pseudo-gynecomastia patients using a 1/4 inch incision in the armpit, using specially sharpened gynecomastia suction cannulas, diamond rasps and miniature endoscopic "biting" instruments without making a periareolar scar.  I hope this helps answer your question.  Good luck!

Mordcai Blau, MD · Answer

it is not rare to have asymmetric breasts.The only way to correct it is surgical.You have to make sure that your board certified plastic surgeon has experience with  gynecomastia surgery.

Gynecomastia On One Side. What Can I Do? (photo)

Answers (7)

Answer: Unilateral Gynecomastia can be treated through an armpit incision

Answer: Unilateral Gynecomastia can be treated through an armpit incision

Answer: Unilateral gynecomastia

Answer: Unilateral gynecomastia

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Everything you need to know about Gynecomastia Surgery

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Gynecomastia On One Side. What Can I Do? (photo)

Answers (7)

Answer: Unilateral Gynecomastia can be treated through an armpit incision

Answer: Unilateral Gynecomastia can be treated through an armpit incision

Answer: Unilateral gynecomastia

Answer: Unilateral gynecomastia

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.