Fatty Gynecomastia / Enlarged Male Breasts
Fatty Gynecomastia (Pseudo-Gynecomastia)
By definition, gynecomastia that is primarily caused by excess fat is called Pseudo-Gynecomastia. Weight loss is the best treatment for this problem, however, in some cases diet and exercise is not enough. This is especially true of gynecomastia, or pseudo-gynecomastia, and when “love handles” are present, as these two areas do not respond well to weight loss. Typically, in these areas, the body accumulates excess fat even when at ideal body weight. That said, however, weight loss is the suggested first line of treatment.
- Overview of Gynecomastia
- Causes of Gynecomastia
- Ideal male chest
- Joseph T Cruise, MD's Gynecomastia Philosophy
- 7 Types of Gynecomastia
- 1-Puffy nipple. Breast tissue outside of areola
- 2-Chest angle less than 45 °
- 3-Chest angle 45-60° Mild breast sag
- 4-Chest angle 60-90° Moderate breast sag
- 5-Chest angle greater than 90° Significant sag
- 6-Top of areola is above chest fold. Severe sag
- 7-Top of areola is below chest fold. Extreme sag
- Are You a Good Candidate?
- Benefits of Male Breast Reduction
- Components of Gynecomastia
- Classic Gynecomastia
- Puffy Nipples
- Fatty Gyecomastia
- Saggy Gynecomastia
- Breast Roll
- Prior to Male Breast Reduction
- Male Breast Reduction Anesthesia
- After the Male Breast Reduction
- Recovery from Male Breast Reduction
- Possible Complications
- Gynecomastia Cost and Financing
- Gynecomastia Words to Know
- Gynecomastia Before and After Pictures
Do I need to have breast tissue removed or will liposuction alone be enough?
This is the perhaps the most common question asked by educated patients with gynecomastia. If you are asking this question, then you have done a lot of research. Some surgeons suggest that liposuction alone will take care of the problem. Others believe that breast tissue removal is also necessary. The truth is: It depends!
Observe the pictures below.
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| Classic Gynecomastia | Fatty Gynecomastia |
In the above diagram, we have outlined the main differences between Classic Gynecomastia and Fatty Gynecomastia. Look at the profile(s) of each chest. The right side of each man’s chest is identical. In fact, these types of gynecomastia look the same on the outside. However, when you look at the cut out view of the left chest, you will notice the Fatty Gynecomastia clearly has more fatty tissue (represented in yellow) than Classic Gynecomastia. So, although the overall shape is the same, the underlying causes are not identical. This is the reason some types of gynecomastia are determined at the time of surgery.
Liposuction alone works well to eliminate Fatty Gynecomastia but often leaves significant breast tissue behind causing Classic Gynecomastia. Removing excess fat from Classic Gynecomastia may turn the chest into a smaller chest with Puffy Nipples.
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| Classic Gynecomastia is represented on the left. Liposuction alone often leaves excess breast tissue behind, creating a “Puffy Nipple” appearance as shown on the right | |
Notice on the profile that Fatty Gynecomastia has very little, if any, breast tissue. Liposuction alone may effectively treat these types of gynecomastia but it must be done properly, as the fatty tissue is fibrous and resistant to removal. The fatty tissue in this area is much more resistant to removal than other areas of the body.
Fatty Gynecomastia Profile view
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