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A 47-year-old male asked:

whats the difference between lipomastia and gynecomastia? are the treatments different?

6 doctor answers8 doctors weighed in
Dr. Andre Berger
Cosmetic Surgery 40 years experience
Different Causes: Lipomastia, a.K.A “manboobs, ” is an excess of fat in a man’s chest, related to weight and fat deposits, and can be reduced with diet and exercise. Gynecomastia is actual breast tissue in the male chest usually related to genetics or a hormonal imbalance, and may require tissue removal to prevent breast tissue from growing back. In either case, liposuction can reduce the size and appearance.
Dr. Constanza Iriarte
Specializes in ENT and Head and Neck Surgery
Lipomastia is fattty: Gynecomastia is breast tissue, hormone dependent.
Dr. Richard Zienowicz
Plastic Surgery 38 years experience
Fat: Lipomastia is a breast enlarged by fat. True gyecomastia is breast tissue enlargement.
Dr. Larry Nichter
Cosmetic Surgery 36 years experience
Gynecomastia Defined: Enlargement of breast tissue in a male is called gynecomastia. If if is made up of mostly fat (say in an older of obest person it can be referred to as lipomastia.Typically liposuction is used to correct gynecomastia. If there is also a lot of loose skin often this is also removed. Occasionally if their is firm redundant breast tissue it is surgically removed. See a board certified plastic surgeon.
Dr. Tom Pousti
Specializes in Plastic Surgery
Type of Tissue: Gynecomastia comes from the greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  it refers to abnormal development of large mammary glands in males. Although there may be many “causes”, most cases are idiopathic (no specific cause). Lipomastia refers to adipose tissue causing the breast enlargement. Differentiation of these conditions important because treatment may differ.
Dr. Barry Cohen
Plastic Surgery 34 years experience
Essentially: Fatty breast enlargement versus gynecomastia glandular enlargement. First more amenable to liposuction alone if not too much skin excess.

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Similar questions

A 44-year-old member asked:

How can I tell if I have gynecomastia or if i'm just fat?

3 doctor answers4 doctors weighed in
Dr. Todd Sisto
Breast Surgery 37 years experience
Lose weight...: ...If you still have breasts it's gynecomastia. Or pinch it: if texture is dense and cobblestoney is gland if soft and compressible, it's fat. Compare the feel to an abdominal fat roll. Or you can get an MRI or ct.
A 29-year-old member asked:

How can my doctor diagnose gynecomastia?

3 doctor answers8 doctors weighed in
Dr. Martin Wertkin
Specializes in General Surgery
Examination: The diagnosis can usually be made by physical examination of the breasts. Sometimes mammography and ultrasound are helpful. Occasionally, biopsy is necessary.
A 26-year-old member asked:

Is there a natural treatment for gynecomastia?

5 doctor answers11 doctors weighed in
Dr. Mark Diamond
Pediatrics 46 years experience
Nothing known: Unfortunately there are no known natural cures for gynecomastia other than perhaps avoiding natural estrogenic products.
A 34-year-old member asked:

My doctor told me I have gynecomastia. What is that?

3 doctor answers5 doctors weighed in
Dr. Michael McGonigal
General Surgery 39 years experience
Male breast enlarged: This term refers to breast enlargement in men. It can be caused by hormone imbalances, endocrine disorders, and problems with the liver and kidneys.
A 27-year-old member asked:

What other treatment options for gynecomastia?

3 doctor answers7 doctors weighed in
Dr. Richard Tholen
Plastic Surgery 41 years experience
Surgery and surgery!: Other than weight loss (and treatment of any stimulating causes, like testicular tumors or other hormone causes), surgery is the only way to remove gynecomastia tissues, especially glandular component. Liposuction can help with the fatty part, but excision is needed for the glandular portion. There is no diet or supplement that can help. See an abps-certified plastic surgeon.

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Last updated Jun 22, 2020
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