Unilateral pseudogynecomastia, what is the best approach? (Photos)

Unilateral pseudogynecomastia, where there is excess fatty tissue or glandular tissue development on one side of the chest, can often be addressed in a few ways, depending on the severity and the underlying cause. Here are some potential approaches:
1. Liposuction: For cases where the excess tissue is predominantly fat, liposuction can be an effective solution. It is minimally invasive and removes fat without significant scarring. If the pseudogynecomastia is mainly fatty tissue, liposuction is often the first option to consider.
2. Liposuction with Glandular Tissue Removal: If the tissue involves more glandular components (firmer and more dense tissue), a combination of liposuction and excision of the gland may be necessary. This approach can help achieve a smoother, more natural chest contour.
3. Hormonal Evaluation and Management: Since pseudogynecomastia can sometimes be linked to hormonal imbalances (e.g., excess estrogen or low testosterone), a consultation with an endocrinologist to evaluate and correct any hormonal imbalances might be beneficial. In some cases, medications may be prescribed to balance hormones and reduce the tissue growth.
4. Laser Lipolysis: For some individuals, laser liposuction or laser-assisted lipolysis may be an option to treat fat and tighten skin simultaneously, giving the area a more contoured look.
5. Surgical Excision: If the tissue is dense and resistant to liposuction, or if the individual has skin laxity after fat removal, a direct surgical excision may be the best approach to remove both fatty and glandular tissue and achieve a flatter chest profile.
Consulting with a board-certified plastic surgeon specializing in body contouring is important to determine the best individualized approach based on the extent of the pseudogynecomastia and the patient’s overall goals.