apna2002 said:
how can you tell that there is actual tissue around the breast and its not just a little extra fat?
Unfortunately, it can be difficult to distinguish just what is causing the problem. Gynecomastia male breasts can be fat, gland, or most commonly a combination of both. Sometimes skin and sagging tissues can be a factor. Pseudo Gynecomastia is supposed to be fat only gynecomastia. The problem with that "classification" is that in almost every case of gynecomastia I have seen there is some component of gland. This gland can be very small, but it is present almost all the time. So do you have Pseudo gynecomastia when there is a 1%, 10%, 50%, or 90% deformity from fat? Reality just does not work that way.
Defining the problem with photographs sometimes can help.
However, it is impossible to tell from photographs if the deformity is from fat or gland. The dynamic images,
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Fat tends to be soft, gland tends to be firm. Fingers of gland often dissect between fingers of fat. Look at this
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Men with excessive fat do tend to have certain contour issues. Check out this
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Hope this helps,
Michael Bermant, MD
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