What's the difference between lipomastia and gynecomastia, and how can it be treated?

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Q:

What's the difference between lipomastia and gynecomastia, and how can it be treated?

A:

Lipomastia, also called pseudogynecomastia, refers to an enlargement of the breasts with fatty tissue, but does not have enlarged glands as what happens in gynecomastia (enlarged male breasts).

If you have enlargement of the breasts as a male, you may not care whether or not the condition is due to enlarged glands or fat alone; you simply want your defined chest back.

There’s a difference in treating lipomastia versus gynecomastia. Because gynecomastia has enlarged glands that make the tissues quite rubbery, these have to be surgically excised. However, in lipomastia, a simple liposuction procedure can be done. The problem with this is that it’s possible that breast enlargement may occur later and a touch-up surgery could be done at that time. No one knows why the enlarged breast condition returns at a later date nor how to prevent it from happening in the first place.

If you’re results-oriented and don’t want to go back for a follow-up procedure, then you will want a board-certified plastic surgeon who can use liposuction plus surgical excision during the procedure. This is the way to get a flat chest when you have pseudogynecomastia.

Perhaps the best way to view pseudogynecomastia (lipomastia) is as if it were gynecomastia and treat it exactly the same. This is how board-certified plastic surgeons are starting to think about it – and it’s for the benefit of patients. This way of thinking actually helps avoid some x-rays and other forms of imaging, so it’s less stress on the body in the long run.

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Dr. Donna Schwontkowski is a retired chiropractor with a master's and bachelor's in nutrition and master's in herbology. She's been an expert on anti-aging, beauty and natural healing for over 20 years and loves providing solutions that quickly and painlessly reverse a beauty problem.

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