How do I find out if I suffer from pseudogynecomastia?

I've always been chubby. I remember being the tallest and almost the heaviest boy in the class. Back then, this was an advantage because no bully had the courage to mess with me. As I grew up, I realized I've been overweight for such a long while that I wasn't even aware my chest should look any different. How can I know if it's a fat deposit or gland tissue? I don't know why but I'm a bit embarrassed to go to a doctor's office.

CYRN12

M, 31, California

Tags:man age 25-34 chest excess fat gynecomastia overweight

Unfortunately, it’s impossible to give you an accurate diagnosis without seeing you in person.

If you pinch the excess breast tissue, does it feel firm or soft? Firmness is a sign of true gynecomastia, which cannot be corrected with weight loss or liposuction alone. Softness, on the other hand, suggests pseudogynecomastia, which may be resolved without excision. I do want to stress that this cannot be considered a reliable diagnosis and, for your own health and peace of mind, I highly recommend seeing a physician and discussing your concerns.

During your consultation, your doctor will give you a physical examination and take a blood test, and will ask you a few questions about your medical history, past use of medication, and any symptoms you may be experiencing. Your physician may also perform a mammogram or ultrasound to rule out the possibility of the presence of breast cancer.

The results of the tests will dictate what type of treatment you require. For instance, if the tests reveal small amounts of fat tissue with little excess skin, your doctor may recommend liposuction. Alternatively, if there’s a lot of loose skin and excess glandular tissue, your doctor will probably advise a combination of surgical excision and liposuction.

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Gynecomastia is the enlargement of the male breast gland. It is usually caused by hormonal changes in the body, but may also be caused by obesity and certain medication. Research suggests that a genetic component may also be involved.

Pseudogynecomastia is defined as having excess fat in the chest area, while true gynecomastia is defined as having excess glandular tissue in that same area. I personally don’t think it’s especially important to differentiate the two because every case of gynecomastia involves excess fat and glandular tissue in varying proportions.

Regardless of whether you have true gynecomastia or pseudogynecomastia, the best treatment method will probably involve cosmetic surgery. Gynecomastia surgery can be performed under local or general anesthesia.

The details of the surgery can vary depending on your needs, but may include liposuction, which involves removing excess chest fat via vacuum suction. In cases where excess skin and/or glandular breast tissue needs to be removed, the surgeon will probably opt to use excision techniques. Best results often come from using a combination of these male breast reduction techniques.

For now, I think the most important thing to do is see a physician for a formal diagnosis. Be sure to take the time to find an experienced board-certified plastic surgeon who (ideally) specializes in gynecomastia.

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The simplest (and most reliable) way of diagnosing pseudogynecomastia is to visit your doctor for a formal evaluation. They will discuss your symptoms, review your medical history, and perform a breast exam before making a diagnosis.

I understand that you might feel a bit embarrassed, but rest assured that this is a very common concern, and your physician has probably seen hundreds of men in a similar position. Nothing to be embarrassed about!

You may be wondering about the main differences between true gynecomastia and pseudogynecomastia. True gynecomastia is much more common and is usually caused by excess breast tissue, which is located under the areola and tends to feel quite firm. Pseudogynecomastia is the result of too much fatty tissue, and feels softer to the touch than true gynecomastia. True gynecomastia can only be resolved with breast reduction surgery, while pseudogynecomastia may respond to weight loss (though plastic surgery is often still required to help patients achieve their cosmetic goals).

I recommend consulting a board-certified plastic surgeon to receive an examination and discuss your treatment options.

The male breast is made up of fatty tissue and glandular tissue. If there’s too much of either type of tissue, or if the ratio of tissue is imbalanced, it can result in the enlargement of the male breast. This is known as gynecomastia, a condition that affects about 65% of men between the ages of 27 and 92, according to official figures. You can take some solace in knowing that you’re far from alone in this issue.

In regard to your main question, the best way to know whether you have pseudogynecomastia is to see an experienced doctor and have an examination. As you may be aware, pseudogynecomastia is essentially the presence of too much fat in the chest area and, in some cases, can be improved with either surgical or natural weight loss. True gynecomastia occurs when there’s too much breast tissue. In this scenario, weight loss cannot help and, in some cases, will actually make the gynecomastia more visible.

While there may be some minor differences between true gynecomastia and pseudogynecomastia, treatment options are more or less exactly the same. Depending on your anatomy and cosmetic goals, your surgeon will probably recommend a combination of liposuction and excision to remove excess fat and tissue, and help you achieve a flatter chest. Please see a board-certified plastic surgeon to find out more.

Best way to tell is by examination (your doctor or a plastic surgeon).

Only way to tell is by examination. This is a very common concern and should not be something to be embarrassed about and very well treated. Good Luck!

Pseudogynecomastia is a male breast made up of fat deposits as opposed to true gynecomastia, which is developed mammary tissue. The only way to determine your status is by exam. 

The results of the exam tells your plastic surgeon what type of surgical procedures are needed to correct your concerns. For example, do you need liposuction only, removal of excess skin,reduction of mammary tissue or a combination 

regards

Jack Peterson MD

http://drjackpeterson.com/maleservices

Dr. Jack Peterson has 2 Gynecomastia Reduction before & afters:

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