Understanding the Two Types of Gynecomastia: A Journey towards Effective Solutions


Gynecomastia also known as “man boobs”, is a condition characterised by the abnormal enlargement of breast tissue in men. The most prevalent type of gynecomastia stems from a build-up of excess fatty tissue in the chest area. This form, often referred to as pseudo or fatty gynecomastia, is closely linked to overall obesity and may extend beyond the chest alone. Fortunately, adapting a sensible diet and exercise program can often help reduce pseudo gynecomastia. In some cases, however, stubborn fat in the chest may persist, requiring additional measures such as liposuction or liposculpting.

On the other hand, true gynecomastia, often referred to as glandular gynecomastia, presents a different challenge altogether. This condition is characterised by the growth of glandular tissue in the chest area, resulting in a more pronounced enlargement that is not influenced by weight loss or rigorous exercise. Unlike fatty gynecomastia, true gynecomastia necessitates alternative treatment options beyond traditional weight management techniques.

Understanding the key differences between these two forms of gynecomastia is crucial in navigating the appropriate avenues for effective management and finding the right solutions tailor-made to each individual’s needs. When it comes to any cosmetic surgery procedure, it is crucial to consult with a board-certified and qualified plastic surgeon for an accurate assessment. Dr Allen Rezai, a leading Consultant Plastic and Reconstructive Surgeon of Harley Street, London, and leader of Elite Plastic & Cosmetic Surgery Group in Dubai Healthcare City, can provide expert guidance. While a comprehensive consultation is always recommended, here are a few pointers to help you gain some insights into your condition.

Understanding Gynecomastia

When it comes to gynecomastia, the condition manifests in different ways, leading to distinct physical characteristics. Let’s delve into the two common forms: glandular gynecomastia and fatty gynecomastia.

Glandular Gynecomastia:

Glandular gynecomastia is often identified by a localised enlargement of the chest, resembling female breasts with a rounded appearance. This condition goes beyond the chest area alone, with the nipple area protruding further out from the chest. The areola, the darker skin surrounding the nipple, and the skin overall may exhibit signs of stretching. Another key indicator is the presence of a firm lump beneath the nipple area, highlighting the glandular nature of this type of gynecomastia.

Fatty Gynecomastia:

In contrast, fatty gynecomastia is associated with an accumulation of excess fat on a man’s chest, resulting in a saggy appearance. Unlike glandular gynecomastia, which has a more defined shape, this form exhibits a lack of notable contours. The chest may feel soft to the touch due to the excess fat accumulation, giving it a different texture compared to glandular gynecomastia.

Understanding the differences between glandular and fatty gynecomastia is crucial for accurate diagnosis and determining the most suitable treatment options.

The Importance of an Initial Consultation

To accurately determine the nature of your condition, seeking the expertise of a qualified plastic surgeon is crucial. Dr Allen Rezai, with his extensive experience and expertise, can provide a thorough evaluation of your unique case. He will consider factors such as your medical history, physical examination, and potentially order diagnostic tests to reach a definitive diagnosis.

Thorough consultation, open communication and personalised treatment plan are key in achieving the best possible outcome.

Personalised Treatment Plan

Once a diagnosis is established, it’s important to determine whether surgery would be the most appropriate option for your specific condition. Gynecomastia Surgery or Male Chest Reduction may involve surgical intervention, such as liposuction and/or glandular tissue excision and removal of excess skin.

It is important that your options are discussed with you at length during your consultation, especially types of surgery and techniques that would provide you with the best possible outcome. Consult, 1, 2, 3 or even more experienced and qualified plastic surgeons, until you are satisfied with the reasons why a certain treatment plan is suitable for you. Take your time, do your research and ask questions until everything is clear, it is only then that you can make an informed decision about your treatment.

Schedule your consultation with Dr Allen Rezai at Elite Plastic & Cosmetic Surgery Group in Dubai Healthcare City or at his London Harley Street practice, for a thorough assessment and to determine the type of gynecomastia you might have, discuss all your options including all aspects of the procedure in detail and the appropriate techniques to achieve the best possible outcome for you.

For more information about Male Chest Reduction/Gynecomastia Surgery in general and before and after photos visit: Gynecomastia Before & After Photos

For details about procedures and treatments or for a consultation, advice and prices from our Dubai clinic please call +971 4 431 2396 or use our ONLINE FORM.

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