Pseudogynecomastia: How Is Pseudogynecomastia Different Than Gynecomastia?

Posted By:Dr. Ritesh Anand On 2023/05/09

It is natural for men to worry about their breasts if they seem enlarged or swollen. For this, they will find the causes and symptoms of Gynecomastia. But it is not only the single reason that causes excessive tissue growth. In a few cases, excessive chest fat can also be because of pseudogynecomastia. It is a condition in which men tend to accumulate fat in the chest and abdomen area and have bulk in the torso. The condition in which fat builds up behind and around mens breast area and because of which the chest appears fluffy and swollen is called pseudogynecomastia and lipomastia or adipomastia.

What is pseudogynecomastia?

It is a condition in which men develop excessive fat behind or around the nipple region. It is a very real problem that causes some physical and psychological issues. For a few men, weight reduction may somewhat improve the problem. But for those who have been struggling with the condition for too long, liposuction is the best option for them to correct the condition. It is done to remove the necessary amount of fatty tissue to create a smooth and flat chest. 

How is pseudogynecomastia different from Gynecomastia?

There is no medical risk to having any of the conditions, but many patients experience psychological stress, such as Gynecomastia or pseudogynecomastia and experience self-esteem issues associated with showing their body in public. In a few cases, Gynecomastia can also be a symptom of a more severe health issue, so patients are advised to also speak with their cosmetic surgeon in gurgaon about potential causes. The main difference between both is the type of tissue that is the reason for breasts to appear enlarged and feminine. In Gynecomastia, the male chest has excess glandular female breast tissue, which is firmer and more fibrous and does not respond to changes in diet or exercise routine. The main reason for Gynecomastia is the imbalance in hormone levels and other causes of medications. 

Difference in symptoms 

  • Pseudogynecomastia symptoms include : 
  • Bilateral breast-like appearance on the chest 
  • Fatty tissue beneath the chest 
  • Gynecomastia symptoms 
  • Physical appearance
  • Swollen nipples
  • Tenderness in areola
  • Soft, fatty tissue beneath the chest
  • Nipple sensitivity

The difference in the development of both 

Both pseudogynecomastia and Gynecomastia have the same sound and may appear almost the same, but both have different treatments. Gynecomastia is the blanket term, and pseudogynecomastia is used for specific people with unnaturally large breasts. It is true that large male breasts that form an extra accumulation of glandular tissue are Gynecomastia. This extra tissue develops during puberty because of hormonal changes or some men get by on their own, and in a few cases, it does not. In these conditions, the removal of excess glandular tissue helps reduce the breasts size and offers the chest a contoured look. Some potential causes are: 

  • Hormones
  • Certain medications
  • Alcohol use
  • Liver problems
  • Narcotic use
  • Kidney issues

Pseudogynecomastia develops when a fat buildup is around or behind the chest or just under the nipples. Some weight-lifting techniques can help people to tone up and tighten their chests. The liposuction procedure is the best way to remove the extra fat and to get a more sculpted chest. Some potential causes are:

  • Obesity
  • Excess fat 

Treatment differences between both 

Pseudogynecomastia first-line treatment is weight loss suggested by the experts. As your body loses body fat, your chest will tend to get smaller, and many manage the condition with a combination of diet changes and workout routines. However, the treatment of Pseudogynecomastia depends upon the degree of residual fatty tissue, and liposuction alone can be performed by expert cosmetic surgeons to remove stubborn fat deposits. 

Treatment of Gynecomastia is breast reduction surgery to remove fat tissue. 

Expert Surgeons treat Gynecomastia with the help of gynecomastia surgery in gurgaon, also called male breast reduction. The procedure involves the removal of chest fat using liposuction and surgical removal of the Glandular tissue. However, its common for men to have both Gynecomastia and Pseudogynecomastia, in which surgeons will combine both procedures to resolve both issues. However, Gynecomastia needs surgical interventions. Thus, the former is easier to treat than the latter. If you are seeking the best cosmetic and plastic surgeon for Gynecomastia, then book your appointment with Dr. Ritesh Anand, the best plastic surgeon in Gurgaon, an expert in all - Gynaecomastia surgery, facial treatments, liposuction, and many other cosmetic and plastic surgery procedures.


1. Does pseudogynecomastia require surgery?

Pseudogynecomastia can be managed by dietingand exercises . The most effective way to treat the condition is to remove fat via liposuction. 

2. How common is pseudogynecomastia condition?

Pseudogynecomastia is a very common condition, as more than half of all men experience excess fat around their chest. 

3. Can pseudogynecomastia come back again?

It can come back if the patient leads an unhealthy lifestyle, or it can also be because of certain medications.

4. How to get tested for Pseudogynecomastia?

The condition is beneath the patients breasts; a simple exam can be performed in an office of the plastic & cosmetic surgeon . 

5. What is the main reason for Pseudogynecomastia?

If a male’s body produces too much estrogen or has low testosterone, then their breasts may enlarge.