Gyno or Pseudogyno? How To Find Out If You Have This By Yourself?

how to find out if you have gyno or pseudogyno, by yourself? would appreciate a step by step method (if possible).

Doctor Answers 6

Glandular or Pseudo Gynecomastia?

First of all, in my opinion it doesn't really matter too much because if you can't tell the difference. This is because if you can't improve your "pseudo" gynecomastia on your own, you will need the same kind of surgery that treats glandular gynecomastia. True glandular gynecomastia has a central dense rubbery glandular component. Pseudo gynecomastia is from too much fat. The best tell tale sign happens when you lose weight. Pseudo gynecomastia will significantly improve with weight loss. True glandular gynecomastia won't go completely away and sometimes will look worse as you become thinner. Why? because the gland does not respond to weight lose. But all the fat around the gland "melts away" leaving the ense gland more visible than before when it was hidden by the fat. Finally, when in doubt, go see an experienced gynecomastia surgeon. Other docs may not really understand all of the subtleties. Also, believe it or not, I think gynecomastia is not well understood by general docs who tend to diminish the importance of how it affects guys who have it.

Baltimore Plastic Surgeon
4.9 out of 5 stars 78 reviews

Gyno or Pseudogyno

The male breast is composed of glandular tissue and fatty tissue. An excess in either type of tissue can cause the chest to take on the look of gynecomastia. Gynecomastia can affect men of all different body types.
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.
There are three types of surgical #treatment #options available that treat 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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

True or pseudo gynecomastia

Pseudogynecomastia is excess fat while true gynecomastia is excess glandular tissue. Your surgeon can check which you have in a physical examination. Generally, this involves pinching the skin on your chest. Fat is far softer than glandular tissue. 

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 24 reviews

Gyno or Pseudogyno?

Hi iamnotadoctor,

Thanks for the post. True gynecomastia is due to excess glandular tissue. This typically this feels firm and is located under the areola but can also extend outside the borders of the areola based on how much there is. Pseudogynecomastia typically feels softer than breast tissue because it is fatty tissue excess.  The main difference between the two is that excess gland tissue can only be reduced surgically whereas excess fatty tissue may be able to be reduced with diet and exercise. 


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

Gynecomastia versus psedogynecomastia

1.Hard lump under the nipple is usually gynecomastia.

2.Soft tissue usually indicte psudo,..

3.A mass under the nipple with low body fat content (like body builders) is usually real gynecomastia.

4.A soft lump under the the eintire breast in an overweight or obese person may be  pseudogynecomastia .  

5.The best way is to see a board certified plastic surgeon with vast experience in gynecomastia surgery (See their web site for before and after pictures)

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 76 reviews

Both gynecomastia and pseudogynecomastia can be corrected.


I am not sure that you can do this yourself, but why does it matter?  If you have fullness in your chest ("breasts") that embarrasses you, it can be corrected.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.