Gynaecomastia vs chest fat – what is the difference?

30th August 2022

Male breasts may appear larger than normal due to two factors: chest fat or gynaecomastia. In this article we look at the differences between the two and the treatment options available.

Male breasts may appear larger than normal due to two factors: chest fat or gynaecomastia. The fat that collects in the chest area of men is referred to as chest fat, while gynaecomastia is characterised as an abnormal increase in breast tissue growth and it’s hard to tell the difference at first glance.

In this article we look at the differences between the two and the treatment options available.

Gynaecomastia vs chest fat

Different aspects	Gynaecomastia	Chest fat
Characteristics	Abnormal breast and glandular tissue growth in the chest area causing pain in some cases. The breast tissue growth does not respond to exercise or dietary changes. Its treatment usually involves surgery. Mostly occurs during puberty.	A painless and soft deposit of fat in the chest area, common in those who are overweight or obese. Diet and exercise can eliminate this type of fat deposit.
Symptoms	Tender areolas that are uncomfortable to touch Sensitive and puffy nipples A firm mound or disc of glandular tissue in the chest with fat tissue in some cases	A bilateral breast-like appearance in the chest Only fatty tissue beneath the sternum, which isn’t hard when touched
Causes	Hormones: Hormonal imbalances are typically the cause of gynaecomastia. This can occur in several ways. In babies, oestrogen is transferred through the placenta and causes gynaecomastia. Hormone-induced gynaecomastia in newborns normally resolves on its own. Certain medications: In some situations, certain medications cause the development of gynaecomastia. Patients who take antidepressants, steroids, or medication to address heart disease, ulcers, or prostate issues are more likely to develop gynaecomastia. Alcoholism and liver disease: Those who struggle with alcohol or have cirrhosis may be predisposed to gynaecomastia. Thyroid problems: The thyroid gland, located in the neck, is a hormone-producing gland. Patients with thyroid issues may experience gynaecomastia symptoms. Narcotics use: The use of various drugs, including cannabis and heroin, has been linked to the development of gynaecomastia. Kidney problems: Although rare, renal insufficiency can cause gynaecomastia. In this case, it is vital to seek medical assistance as soon as possible.	Obesity: While many circumstances can cause gynaecomastia, extra fat causes the chest to look like breasts.
Other visible differences	In gynaecomastia, the breasts are firm and appear like female breasts.	You have chest fat if there is no soreness and the area right to the bottom of your chest is soft.

What are the treatment options for gynaecomastia?

Gynaecomastia surgery, also known as male breast reduction, addresses this condition. Liposuction may also be used at times, depending on the individual case. However, it is normal for men to have both gynaecomastia and excess fat tissue, in which case surgeons would combine both surgeries to remove all extra tissue efficiently.

Gynaecomastia surgery

Gynaecomastia surgery typically takes 1-3 hours and is performed under general anaesthesia. Each patient’s treatment plan, including the placement of incisions, is unique. Typically, the surgeon will make an incision around the nipples to eliminate excess breast tissue.

In more severe cases, your surgeon may need to employ “excision procedures” to remove both glandular breast tissue and extra skin through a bigger incision. This is also occasionally required to relocate the nipple or areola to achieve a more natural-looking chest shape.

Looking for an expert for your gynaecomastia treatment? Contact Dr Adnan Tahir

Dr Adnan Tahir is a board-certified surgeon specialising in body contouring surgeries such as gynaecomastia and many other body enhancement procedures. He has considerable experience in gynaecomastia surgery as well as extensive training in a variety of liposuction technologies.

If you have gynaecomastia or excess chest fat and want a more sculpted chest, schedule an appointment with Dr Adnan to get a customised surgical solution.

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Maryam A

2023-09-21

Dr adnan he was very attentive, supportive, caring, and genuinely friendly. He did an amazing job. His nurses Janine and June were amazing helping me prior and supporting and checking up on me afterwards.