Author: Dott.ssa Basile M. Gaetana (Tania)

Date: 10/06/2020

False gynecomastia isoften confused with gynecomastia or true gynecomastia.

When men discover that their breasts are unusually large they almost always come to the conclusion that it is gynecomastia.
However, self-diagnosis is not necessarily always correct. Gynecomastia has well-defined characteristics.
It is therefore necessary to distinguish false gynecomastia from true gynecomastia because the treatments are very different. Whether they are pharmacological treatments or surgical techniques, the treatments differ. 

What is false gynecomastia?

False gynecomastia looks more or less like true gynecomastia, but it does not affect the mammary gland.
In the case of false gynecomastia the cause of breast enlargement is actually the accumulation of fat rather than the enlargement of the mammary gland which in turn leads to the female appearance of the male breasts.
Therefore, if you believe you have gynecomastia just because you have enlarged breasts, you should consult a doctor specialised in gynecomastia treatment and surgery.

The difference between false gynecomastia and gynecomastia
The main difference is the type of tissue involved in the acquisition of female features of the male breast.
In the case of gynecomastia, what leads to the feminisation of the male breast is the growth of the gland. If it is false gynecomastia this is fat, i.e. localised fat.

The fat in men's breasts tends to accumulate behind, around and under the nipples. False gynecomastia thus becomes visible only when the amount of fat accumulated is excessive. Adipose tissue also tends to settle under the mammary gland. In patients with true gynecomastia, the tissue appears rubbery, which is not the case with false gynecomastia.

The diagnosis must be made by a surgeon specialised in gynecomastia.

False gynecomastia and weight loss

If the problem of breast enlargement is due to the accumulation of fat, the first step is to lose weight. If it is false gynecomastia, weight loss leads almost immediately to a regression of breast enlargement. Once the body fat is reduced, you should also see the difference in the breasts. If you cannot see a big difference even after losing a lot of fat, then there is a high probability that it is true gynecomastia.

False gynecomastia: treatments

The choice of treatment depends on whether it is quick, through surgery, or whether you are willing to work out in the gym and maintain a proper diet.

False gynecomastia: physical activity

One of the advantages when it comes to dealing with false gynecomastia is that you can start doing targeted exercises.
This is because false gynecomastia is the accumulation of fat in the chest, and this can be burned with appropriate exercises.
The goal is to reduce the fat content in the chest area so that you can get rid of the embarrassing breast enlargement.

You might be tempted to overexercise your pecs
, but keep in mind that there is absolutely no such thing as an exercise that leads to fat elimination by training that specific area alone.
You should work on the upper body in general and once you start to lose the excess fat accumulation then you will be able to see the results on the chest as well. Exercise and constant training are the cheapest options to get rid of fake gynecomastia, although it can take time depending on the frequency and intensity of training.

False gynecomastia: surgery

Surgery is one of the techniques to treat false gynecomastia. The procedure is fast and the effects are visible right away, when the surgery is performed by a plastic surgeon experienced in breast reduction treatments. Among the most popular procedures are:

  • Liposuction to remove fat
  • Excess skin lift after liposuction

A plastic surgeon can perform the surgery in 60–90 minutes. It is an outpatient procedure, i.e. without overnight stay, and there is often a significant improvement in the appearance of the treated part. 

False gynecomastia should not cause alarm, but it certainly needs to be addressed. 

Dott.ssa Basile M. Gaetana (Tania)


Dott.ssa Basile M. Gaetana (Tania)

Medico Chirurgo - N. Iscrizione all' ordine: 8309 - Cosenza

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