Do I have true gynecomastia or pseudogynecomastia. (photos)

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.

Hi Bzapp,

Thanks for your question and photos. It is impossible to know for sure without examining you. I would think that based on your description that you have gynecomastia and surgery will likely be required. Please seek several consultations to get different opinions. The %BF is does not matter but you should be at a stable weight to get the best results. The surgery can be performed with a combination of ultrasound, liposuction and direct excision using a one-stitch technique of minimally invasive gynecomastia surgery. It routinely takes just 40-50 minutes and can be done under local plus sedation. Good Luck!





All the best,





Carlos Mata MD, MBA, FACS





#gynecomastia #moobs





Board Certified Plastic Surgeon

It's a good question, but unfortunately you cannot tell without physical examination. Physical exam allows the surgeon to palpate breast tissue under your nipple. If this is present, a typically needs to be excised surgically. If only fat is present on physical examination, and there's no excess skin,  then you could consider liposuction alone.

There are several common factors which contribute to gynecomastia. These include 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.Normal Gynecomastia is usually apparent in boy between the ages of 12 to 15 years old and older men 65 years old or more who experience a drop in their testosterone levels. This type of Gynecomastia takes about one to two years to regress on its own.Pure Glandular Gynecomastia is seen more commonly in body builders and is caused by steroid use. Surgical removal of the gland is required for treatment.Adult Gynecomastia – Fat deposits are apparent in the glandular tissue. This type of gynecomastia is the most common. Doctors may recommend surgery for treatment of the condition.Adolescent Gynecomastia is hereditary and usually appears in 30% to 60% of boys between the ages of nine to fourteen. Many cases of adolescent gynecomastia resolve on its own as the boy grows into adulthood. Some may choose to undergo surgery to correct the situation, this usually happens at the age of 18 or above. In severe cases in young boys, the physician and child development specialists will need to speak to the parents regarding the severity of the gynecomastia and if surgery is an option before the age of 18.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.Pseudo-Gynecomastia is composed of adipose tissue instead of glandular tissue. This type of gynecomastia can be treated with diet, liposuction or surgerySevere Gynecomastia commonly affects those who have lost skin elasticity at an older age and those who have been obese or overweight at one point in their life and lost weight may have saggy skin and breasts that are severely enlarged. Surgery is the recommended treatment for severe gynecomastia. There are three types of surgical treatment options available that treat gynecomastia. The doctor will recommend the one that is best suited to each individual case.

Congratulations on your weight loss! By your history and appearance, there appears to be fat and glandular excess.  There may even be skin redundancy.  The treatment would included liposuction of the chest with partial gland excision with the hopes that your skin will tighten. You should have a fantastic result.