Pseudogynecomastia

The condition in which the male breasts are mainly composed of fatty tissue is called Pseudogynecomastia.

A common male adipose distribution that is hormonal in nature appears as a circular pattern around the chest and a second area of fat around the abdomen (belt area). This adipose tissue distribution is exaggerated in cases of Pseudogynecomastia, in which the fat may extend to the arm pits and the back.

Large male breasts can be composed of so called "soft fat" where liposuction is relatively easy, as opposed to so called "hard fat", where there is more fibrous tissue which may make liposuction more difficult with a possibility of increased bleeding.

Youth and breast skin elasticity are both factors that may contribute to better results from male breast reduction surgery. Also, there may be a decreased incidence of post surgery pendulous breast in younger patients.

In obese people the breasts fatty tissue may extend into the breast gland tissue and the pectoralis muscle.

When there is excess skin, breast liposuction combined with excision of the gland may not be sufficient. Breast skin excision may be necessary, a procedure called "Mastopexy."

Proper diet and exercise are essential and should always be tried prior to male breast reduction surgery and/or breast liposuction. In cases of pseudogynecomastia, this surgery should only be done after serious efforts at remedying the problem through weight loss have had no effect on the gynecomastia condition.

Liposuction of the breast may have to be extended to the arm pits (axillas) and other areas.

As with all cosmetic surgery, results will be rewarding if expectations are realistic. As with any surgery, there are some risks which your doctor will discuss with you.

The following pseudogynecomastia before-and-after photos will give you a sense of the results Dr. Blau has achieved in fatty gynecomastia surgery. However, each patient is unique and previous results are not a guarantee for individual outcomes.