Tubular breasts in men can be confusing, embarrassing and often misdiagnosed. Most assume it’s always gynecomastia, but that’s not always the case. The reality is not all male breast enlargement is due to hormonal changes—some cases involve structural issues that require a different approach.
At Two Palms, we help men understand what’s going on with their chest—and how to fix it with confidence. In this post we’ll explain what tubular breasts are, how they differ from gynecomastia and the treatments available.
If you’ve noticed changes in your chest, you’re not alone—and you’re not stuck with it.
Tubular, or tuberous, breasts in men are characterized by a narrow chest base, enlarged or puffy areolas and a protruding shape. The tissue may appear uneven or cone-like. This condition is less common but often mistaken for gynecomastia.
Unlike fat related chest fullness, tubular breasts have a distinct glandular structure that affects shape—not just size. It’s usually noticed around puberty and may persist into adulthood without intervention.
In many cases Gynecomastia Removal Surgery is still the best option to correct the underlying structure and restore chest symmetry.
Not all male breast growth is gynecomastia. Some men have pseudogynecomastia, where chest fat accumulates due to weight gain, while others have true gynecomastia, caused by enlarged glandular tissue.
Tubular breasts can involve a mix of both, making diagnosis complex. Key differences include firmness under the nipple, asymmetrical appearance and changes during puberty. A board certified provider will evaluate your condition to determine the best path forward.
No matter the cause we offer a variety of personalized Treatments tailored to your specific chest anatomy and goals.
Tubular breast formation in men is rare but often linked to:
First step is a professional evaluation. A doctor will assess the structure, feel for firm tissue beneath the nipples and look for signs of hormonal imbalance. Imaging tests like ultrasound or mammogram may be ordered and lab work can measure testosterone and estrogen levels.
Diagnosis is key to rule out other conditions like breast cancer (rare in men) and to create a precise treatment plan.
To learn more about our medical approach and team visit our About Us page.
Treatment depends on the diagnosis. At Two Palms we offer advanced surgical options to reshape and restore the male chest:
Each plan is customized to ensure results are natural, balanced and masculine. We also offer discreet consultations and same day outpatient procedures.
See real results in our Before & Afters gallery.
For some men weight loss, clean nutrition and exercise can reduce pseudogynecomastia. But when tissue is glandular or the shape is structural lifestyle changes alone aren’t enough.
Avoiding alcohol, anabolic steroids and marijuana may help prevent hormonal disruption. Strength training can enhance chest muscle definition but won’t eliminate puffiness or deformity.
Looking for a subtle yet powerful refresh? Ask about Bro-tox – Botox for Men to complement your chest surgery and refine your facial appearance.
Men often struggle silently with breast related concerns. You might avoid tight shirts, dread the beach or feel anxious in intimate moments. But you’re not alone—and it’s not “vain” to want a body that reflects how you feel inside.
Cosmetic issues like tubular breasts can have real emotional consequences. Fortunately the right treatment can be life changing. At Two Palms, we treat the whole man—helping you look better and feel stronger, inside and out.
When considering surgery for tubular breasts or gynecomastia, choose the right provider. You want a surgeon with expertise in male body aesthetics—not just general plastic surgery.
Look for:
We have Payment Plans so you can prioritize your health and confidence without stress.
Tubular breasts in men aren’t your fault—and they’re more common than you think. Whether your chest concerns are hormonal, structural or both, you don’t have to live with the discomfort or insecurity any longer.
At Two Palms we specialize in male cosmetic surgery, from gynecomastia to full chest contouring. Our approach is discreet, advanced and results driven.
Get started. Browse our services and book your consultation today.
Phone/Video consultations are FREE. In person consultations are $200 and count towards the cost of medication/surgery.
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