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

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.

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.

All men have some fat and breast tissue on their chest--as well as skin and the pectoralis muscle. Some men have more fat (this is called pseudogynecomastia) and some have more breast tissue or gland (this is called gynecomastia). Typically breast tissue or breast gland feels hard and rubbery. It  is usually located under the the nipple and areola complex. Fat is soft and more doughy to the touch. I recommend you see a Board Certified plastic surgeon for a thorough evaluation.Many men have a combination of excess fat and glandular tissue. The treatment for this is to have liposuction to reduce the fat and a surgical excision to remove the glandular. I recommend you see a board certified plastic surgeon for a consultation. During the consult, he or she can discuss your best and safest surgical options. Hope this help and I wish you the best!

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. 

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. Sincerely,Dr. Dadvand