01 / Definition
Gynecomastia is not simply chest fat
Gynecomastia means enlargement of glandular breast tissue in males. Fat can contribute to the appearance, but it is not the same finding. Hormones, medications, substances and health conditions can be relevant.
02 / Before surgery
Ask what the examination found
A clinician may review onset, pain, changes over time, medication and substance use, and perform a chest and general examination. Tests may be indicated depending on the history. A new lump, one-sided change, discharge, skin change, rapid enlargement or marked pain needs medical assessment rather than an assumption that the issue is cosmetic.
03 / Technique
Liposuction and excision do different work
Liposuction can address fat; excision can remove glandular tissue or skin. Some plans combine them. Ask where scars will be, how the nipple and skin may change, whether drains or compression are used and how asymmetry is handled.
Risks listed by ASPS include bleeding, fluid collection, infection, contour irregularity, changes in nipple sensation, scarring, persistent pain and revision surgery.
04 / Consultation
Questions to take with you
- Is the fullness gland, fat, skin or a combination?
- Does an underlying cause need evaluation first?
- Why are liposuction, excision or both proposed?
- Where will scars sit and how may sensation change?
- What compression, activity limits and follow-up are required?
- How are contour irregularity or recurrence addressed?
Professional reference
Source record
General education only. Diagnosis and treatment require an examination by a qualified clinician.