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Pseudogynecomastia Treatment in Dallas

Pseudogynecomastia is the growth of fat rather than breast tissue (gynecomastia) in men, and forms feminine appearing male breasts. It is also called lipomastia or adipose gynecomastia. Pseudogynecomastia is primarily caused by increased fat deposits in the chest, unlike genuine gynecomastia, which results from the growth of breast glandular tissue. It may relate to genetic factors, poor diet, obesity, and lack of exercise.

True gynecomastia has a harder, rubbery, or glandular texture under the nipple, while pseudogynecomastia feels soft and fatty. Pseudogynecomastia, or stubborn chest fat, may improve with weight loss or exercise, but surgery often enhances the appearance of the male chest. Dr. Solomon Azouz and Dr. David Azouz are board-certified plastic surgeons with extensive experience in male breast reduction surgery for pseudogynecomastia and gynecomastia in Dallas.

Why do most men have both Gyno and Pseudogyno?

Gynecomastia can be bothersome for men of all ages. Intense workouts can worsen both pseudo-gyno and gyno, as the pec muscles may push out the gynecomastia tissue. This can frustrate guys who seem heavier with breasts compared to thinner guys with breasts. Additionally, the fatty tissue can be trapped in gynecomastia, making it hard to lose.

pseudogynecomastia vs gynecomastia | Dr. Solomon Azouz

What is the difference between pseudogynecomastia and gynecomastia?

Gynecomastia and pseudogynecomastia have clear distinctions. “True gynecomastia” involves the formation of genuine glandular breast tissue in men, resulting in a solid or rubbery lump behind the nipple. Gynecomastia is usually caused by hormone imbalances, substances, medications, or genetics. Males with pseudogynecomastia accumulate stubborn chest fat that resembles female breasts. Pseudogynecomastia is primarily characterized by excess fat deposits, resulting in a mushy feel in the affected area. It’s often linked to genetic predisposition, obesity, poor eating habits, and a lack of exercise. Board-certified plastic surgeon Dr. Azouz observes that many men exhibit both gynecomastia and pseudogynecomastia in different proportions. Dr. Azouz employs various techniques to eliminate stubborn fat and glandular breast tissue.

pseudogynecomastia vs gynecomastia | Dr. Solomon Azouz

The Link Between Gynecomastia, Pseudo Gynecomastia and Obesity

Obesity is linked to gynecomastia and pseudogynecomastia from hormonal imbalances and fat accumulation. Gynecomastia, often linked to obesity, results from hormonal changes, likely due to elevated estrogen levels compared to testosterone. Hormonal imbalances in males can speed up glandular breast tissue growth. Pseudogynecomastia, the accumulation of chest fat, is closely linked to obesity. Excess body fat, common in obesity, leads to fat deposits in the chest, resulting in pseudogynecomastia. Not all obese individuals will face these conditions, but maintaining a healthy weight through a balanced diet and regular exercise can reduce the risk of pseudogynecomastia and gynecomastia while also enhancing overall health.

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Pseudo Gynecomastia and Gynecomastia in Families

Genetic factors may contribute to gynecomastia and pseudogynecomastia development. Genetic predisposition can affect hormone receptor sensitivity and response in gynecomastia. Some men may have a genetic predisposition to hormonal imbalances, resulting in higher estrogen levels than testosterone, which can cause glandular breast tissue formation. Pseudogynecomastia may have a genetic factor influencing fat accumulation in certain areas, like the chest. Genes can affect body fat distribution, causing some individuals to store stubborn fat in the chest area.

A man with man boobs from obesity before gynecomastia surgery.

You are not alone; Pseudogynecomastia and Gynecomastia affect as many as 1 in 2 men

Pseudogynecomastia and gynecomastia are both very common conditions. More than half of all men will experience excess chest fat at some point in their lifetime. Liposuction and body contouring are among the most common cosmetic surgery procedures for men. More than 30,000 men will decide to proceed with liposuction each year in order to remove chest fat that does not improve with diet and exercise.

Pseudogynecomastia Surgery and Body Contouring in Dallas

Weight loss and exercise may help some men with pseudogynecomastia, but surgery for male breast reduction is often more effective for stubborn chest fat. Non-surgical body sculpting often has minimal impact since the tissue resists treatments other than surgery. Pseudogynecomastia removal surgery is a day procedure using a minimally invasive, drainless technique with a camouflage incision. Dr. Azouz, a Dallas plastic surgeon, uses liposuction to reshape the chest, correcting asymmetry and puffy nipples for a more masculine look. Additionally, Dr. Azouz can sculpt the armpits and sides of the chest.

gynecomastia removal before and after Dr. Solomon Azouz

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before and after male breast removal surgery by Dr. Azouz in Dallas, TX

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Loose skin with Pseudo Gynecomastia

Patients with skin laxity, or loose skin, may need skin excision in the future; however, with a variety of specialized liposuction techniques, board-certified plastic surgeon Dr. Azouz is able to minimize the need for a second surgery to remove loose skin.

What happens after pseudogynecomastia?

Pseudogynecomastia surgery typically allows for quick recovery and is usually not painful for most men. Surgery typically uses local and regional anesthetics along with deep sedation, so patients do not recall the procedure. Local and regional anesthetics can control pain post-procedure. Dr. Azouz will recommend compression garments to reduce post-surgery swelling. Dallas plastic surgeon Dr. Azouz will monitor your progress with follow-up appointments after surgery to ensure optimal results.

before and after male breast removal surgery by Dr. Azouz in Dallas, TX

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Why Choose Top Gynecomastia Surgeon Dr. Azouz in Dallas

The Daddy Do Over

“Daddy Do Over” typically refers to chest and abdomen liposuction. Men with pseudogynecomastia often exhibit lipodystrophy in areas such as the neck, jawline, abdomen, and sides of the torso. Double chin removal and body contouring of the abdomen and flanks are often combined with pseudogynecomastia removal. Liposuction and chest fat removal can be combined with various cosmetic procedures, including:

  • Liposuction of the abdomen, chest, flanks, neck, chin, jawline, arms, muffin top, obliques, sides, waist, and armpits
  • Blepharoplasty: eyelid surgery to eliminate puffiness and sagging in the upper and lower eyelids.
  • Face lift tightens the skin and muscles of the face and neck to address aging.
  • Rhinoplasty reshapes the nose for functional and cosmetic reasons.
  • Otoplasty reshapes large, protruding ears.
  • Chin Liposuction for chin, neck, and jawline enhancement

If you are living with pseudogynecomastia, Azouz Plastic and Cosmetic Surgery can help you. Board-certified and highly experienced in treating pseudogynecomastia, Dr. Azouz’s caring and compassionate treatment makes him one of the most sought-after plastic surgeons in Dallas, and people travel from all over Texas and the country for his skill and artistry. Contact the office today to schedule a consultation for pseudogynecomastia treatment.

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Pseudogynecomastia

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