What is Pseudogynecomastia?
Pseudogynecomastia can be just as disturbing to patients as true gynecomastia. Pseudogynecomastia refers to male breast build up that is generally associated with buildup of fatty tissues from men that are overweight.
The Continuum of Gynecomastia to Pseudogynecomastia:
In reality there is a mixture of fat and glandular tissue in all men. It is very rare to find somebody that has pure gynecomastia without any fatty buildup. Conversely, it is also very rare to have somebody developed male breast without having it as it is also a significant component of breast tissue. Therefore the distinction between Pseudogynecomastia and true gynecomastia is not as distinct and it should be viewed more as a continuum.
Surgical treatment of Pseudogynecomastia:
Liposuction plays a bigger role in the treatment of Pseudogynecomastia. The procedures typically start with a significant liposuction component especially to the lateral chest wall but, also to the breast area. Following the liposuction component the majority of patients will also undergo excisional procedures to remove the glandular build-up.
Non-surgical treatment of Pseudogynecomastia:
The best non-surgical option is weight loss and exercise. Because of the greater fat content and pseudogynecomastia distance to respond better than regular gynecomastia.
One may also try fat reduction non-invasive modalities such as coolsculpt although that Dr. Khalifeh sees many patients who have tried those procedures unsuccessfully as the effectiveness is rather Limited.
Liposuction alone for the treatment of Pseudogynecomastia:
On occasions with men that have a very high fat content liposuction alone maybe used. This is a rare case as most men have that mix picture of Pseudo and regular gynecomastia.
Cost of treatment of Pseudogynecomastia:
The treatment of Pseudogynecomastia ranges from $4,500 -6,000 for the surgical fees. Typically these can be done under local anesthesia. If they require general anesthesia you may have additional fees for facility and anesthesia fees. There might also be costs associated with the pathology if there’s anything that is required to be sent. Usually tissue is not sent to pathology in simple Pseudogynecomastia.