Gynecomastia is a real issue for men. In fact, one out of three men suffers from this condition of swollen glandular tissue, which can be physically embarrassing and sometimes painful. Pseudogynecomastia, on the other hand, can be rectified without surgical intervention.
What is pseudogynecomastia?
“Pseudo” by definition means false or imitation, and when one considers what pseudogynecomastia is, it makes sense. Unlike gynecomastia, which is the result of excess breast tissue, pseudogynecomastia is the accumulation of stubborn pectoral fat. Physically, they may look the same, and although it may be called pseudogynecomastia, it is still a real problem for men.
Pseudogynecomastia vs gynecomastia
In pseudogynecomastia, the primary cause of chest enlargement is fat as opposed to tissue. The fat is usually stored behind and around the nipple area. For gynecomastia, the cause of the condition is excess glandular male breast tissue. This occurs as a result of hormone imbalance. Glandular tissue is firmer and fibrous than fat tissue and it does not respond to diet changes or exercise.
What can be done?
The first thing to do is to get the right diagnosis by a qualified doctor. For those suffering from pseudogynecomastia, compression vests are ideal, but it does not get rid of the underlying issue. As it is caused by excess fat, a full fat and weight loss programme could relieve patients of the condition. Specific exercises that improve the chest’s appearance and contour are also recommended. Fat removal procedures such as liposuction also help to remove excess fat in the problem areas.
Gynecomastia, on the other hand, can’t be treated with exercise or diet. Gynecomastia surgery is still the best option to relieve sufferers of the condition. Despite its intimidating name, gynecomastia surgery is considered as an outpatient treatment, and patients can go home after the procedure. During the procedure, the glandular tissue and excess skin are excised resulting in a flatter, contoured chest. If excess fat is present, it is removed via liposuction.
As with women, men also face appearance issues that are beyond mere vanity. But with the available treatments to safely and effectively address them, conditions such as pseudogynecomastia and gynecomastia can now be a thing of the past for many men. That’s undoubtedly a massive load off their chests.
Affecting at least 60% of all men at some time in their life is the development of female-type breasts, which is caused by a condition known as gynecomastia. The most prevalent time this occurs is the adolescent years as young men pass through puberty and experience hormonal changes. As their hormones are changing and the estrogen level is temporarily high, they may have what is referred to as “puffy nipples.” Fortunately for most, their gynecomastia will resolve on its own without any intervention. However, for some, if their chest is not back to normal after two years, it may be permanent, with gynecomastia surgery as the only effective option.
Gynecomastia Causes
Overall, there are many different factors that can cause gynecomastia or breast enlargement in males. The most common cause is a hormonal imbalance with estrogen levels being higher than testosterone levels, while certain medications may also lead to male breast enlargement. Anabolic steroids can also lead to gynecomastia, which is common among the bodybuilding community.
True Gynecomastia and Pseudo-Gynecomastia
True gynecomastia occurs when there is excess glandular tissue in the male breasts along with excess male breast tissue resulting in enlarged male breasts. Surgical treatment is often the best solution for true gynecomastia.
It is important to note that true gynecomastia should not be confused with false gynecomastia, or pseudo gynecomastia, which results in enlargement of the male breasts due to weight gain, excess fat, and fatty tissue on the body. The main cure for pseudo-gynecomastia is often weight loss.
Gynecomastia Grades
Gynecomastia can be divided into different grades to determine severity. These grades include:
Grade I: severity is mild with enlargement centered around the areola. At this grade, gynecomastia is usually not noticeable with clothing.
• Grade II: enlargement is moderate without excess skin past the areola. At this stage, gynecomastia can still be concealed with loose clothing.
• Grade III: enlargement is moderate with excess skin. At this point, the swelling of the breast tissue is moderate to severe, and is highly visible.
• Grade IV: significant enlargement with feminine-type breasts and excess skin. This is the most severe stage of gynecomastia.
The severity of the gynecomastia will determine how the male breast reduction surgery is to be performed. It is imperative to select a board-certified plastic surgeon that has extensive experience with gynecomastia.
For patients with mild to moderate gynecomastia, the less invasive “pull-through technique” procedure may be an option. For those with more severe gynecomastia, a “Two Stage Procedure” may be necessary in order to reduce the excess skin.
Schedule a Consultation
If you are tired of living with the symptoms of gynecomastia and are ready to make a change, contact Dr. Delgado in San Francisco today! Your first step will be to schedule a one on one consultation appointment to discuss your concerns and gynecomastia treatment options.
Gynecomastia in San Francisco FAQs
What is the most severe grade of gynecomastia?
The most severe grade of gynecomastia is grade 4, which involves severe levels of excess breast tissue and glandular tissue. This excess tissue will create a noticeable condition regardless of whether the patient is wearing a shirt.
What is the best treatment for Gynecomastia?
Gynecomastia surgery is often the best way to treat gynecomastia. This surgical procedure is performed to correct moderate breast enlargement through the removal of excess glandular and fatty tissues.
Do all adolescent males experience gynecomastia?
No, not all adolescents will experience gynecomastia symptoms. However, most males do experience gynecomastia during their teen years as this is when their hormones are fluctuating.
Does gynecomastia cause breast pain?
For some males, gynecomastia can cause the breasts to be tender or painful to the touch.
