Male chest enlargement can be confusing and stressful for men of all ages. Two common conditions, gynecomastia and pseudogynecomastia, both result in an enlarged chest but have very different causes and treatments. At Two Palms Clinic, led by Dr. Hersi, we specialize in men’s health and cosmetic surgery in South Texas. Our expert team knows how important it is to identify the right condition so you can get the best, most effective care. In this article, we’ll help you understand the key differences between these two conditions and the treatments available.
Gynecomastia is the enlargement of glandular breast tissue in males, often caused by a hormonal imbalance where estrogen levels outweigh testosterone. This condition can develop during puberty, middle age or older adulthood. It’s also common in men who use steroids or have liver or kidney disease.
Men with gynecomastia typically notice firm, rubbery tissue beneath the nipple, which can sometimes be tender or painful. This glandular growth is different from simple fat accumulation and usually requires medical evaluation to determine the underlying hormonal cause.
Treatment for gynecomastia often involves hormone management or Gynecomastia Removal Surgery performed by a skilled, board-certified surgeon like Dr. Hersi at Two Palms Clinic. Early diagnosis improves outcomes and patient satisfaction.
Unlike gynecomastia, pseudogynecomastia is caused by an excess of fat in the chest area rather than glandular tissue growth. This condition is mostly seen in overweight or obese men and there’s no hormonal imbalance involved.
Pseudogynecomastia results in a softer, fatty chest appearance. The good news is that it can often be improved through lifestyle changes such as diet, exercise and weight loss. For men who struggle with stubborn fat deposits, procedures like 360 Liposuction for Men at Two Palms Clinic can sculpt the chest and restore a firmer, more masculine contour.
Since pseudogynecomastia is related to overall body fat, it usually responds well to non-surgical treatments but when excess skin or fat remains, surgical intervention may be needed.
The main difference is the type of tissue causing chest enlargement:
Diagnosis usually involves a physical exam to feel the tissue and imaging tests like ultrasound to distinguish fat from gland tissue. Accurate diagnosis is key to avoid ineffective treatments and get the best results.
An accurate diagnosis starts with a physical exam and a detailed medical history. Your doctor may order hormone panels to check estrogen and testosterone levels. Imaging tests like ultrasound or mammograms can help differentiate glandular tissue from fat.
At Two Palms Clinic, we do a respectful, comprehensive evaluation tailored to men’s health concerns. Our team will give you clear answers and a customized treatment plan. If you notice persistent chest fullness, tenderness or changes, seek expert care soon.
For gynecomastia, early stage cases might be managed with hormone therapy if a clear imbalance is found. However, most men opt for surgical removal of the glandular tissue for permanent results.
Gynecomastia Removal Surgery at Two Palms Clinic involves excision of glandular tissue with contouring techniques to achieve a flat, masculine chest. Recovery is usually straightforward, most patients can return to normal activities in weeks.
Choosing a board-certified surgeon like Dr. Hersi is key to minimize scars and complications. Many men find surgery improves their confidence and quality of life.
Pseudogynecomastia can be addressed through lifestyle changes such as diet and exercise focused on fat loss. However, localized fat deposits resistant to weight loss might require intervention.
360 Liposuction for Men is a minimally invasive procedure at Two Palms Clinic to remove stubborn fat and contour the chest area. In some cases, skin tightening treatments might be recommended if excess skin remains after fat removal.Non-surgical options like CoolSculpting may be considered but are less common in severe cases. Weight loss combined with targeted treatments usually yields the best results.
View our Before & Afters to see the results we achieve.
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At Two Palms we offer personalized consultations to discuss surgery, outcomes and recovery. We want to help you get back to a comfortable, masculine chest with minimal downtime.
If you have male breast enlargement, you’re not alone. Both gynecomastia and pseudogynecomastia are common and treatable. Two Palms Clinic specialises in men’s health and cosmetic surgery, with discretion and respect.
Check out our range of Treatments including surgery and non-surgical options like Bro-tox - Botox for Men, Hair Loss Medication, Erection Medication to support your overall health. We also offer Payment Plans to make your treatment affordable.
Contact Two Palms Clinic today to book a consultation with Dr. Hersi and start your journey to a confident you.
Phone/Video consultations are FREE. In person consultations are $200 and count towards the cost of medication/surgery.
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