Do I have true gynecomastia or pseudogynecomastia. (photos)
Doctor Answers 18
True Gynecomastia or Psuedogynecomastia?
However your situation is more complicated than just the type of gynecomastia. After your weight loss your skin now appears somewhat loose and you have some sagging of your breast. Further weight loss will likely make the sagging worse and you do not need to lose much more weight to be at a healthy BMI (approx. 25) for a male. If your breast/chest still feels/looks full, then you would probably benefit from chest liposuction and possibly direct excision of true gynecomastia if it is present. The big question mark for you will be how well your skin can retract after liposuction. Given that your skin already looks somewhat lax, it is not a guarantee that it will retract well and hence the result would not look all that great. I have used almost every type of liposuction technique to treat this condition and have found that laser liposuction does the best job at removing the very fibrous chest fat, and because it provides an extra degree of skin tightening that does not occur with other types of liposuction the results are consistently better.
Gynecomastia or Fat
Do you have gynecomastia?
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Gynecomastia vs. Pseudogynecomastia
Congratulations on the weight loss! Keep up the good work. You appear to have a pretty loose skin envelope on your chest wall. This is common after a good bit of weight loss. The good news for you is, you are a young guy and over the next 6 months or so your skin envelope should shrink. Regarding what you have, it's tough to tell without an actual physical exam. Gynecomastia patients have true breast tissue or "gland" which is easily palpable, and pseudogynecomastia patients pretty much just have fatty tissue. But either is undesirable and can be corrected.
True Gynecomastia or Pseudogyno? which do I have?
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
Board Certified Plastic Surgeon
Do I have true gynecomastia or pseudogynecomastia
Types of Gynecomastia and Their Treatment
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 surgery
Severe 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.