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Published on Sep 4, 2019
Episode # 13 - "What is pseudogynecomastia? Do I have chest fat or gyno?" Dr. Caridi from the Austin Gynecomastia Center answers this question in his YouTube miniseries.
For the longest time, I have been an advocate for eliminating the term “pseudogynecomastia” because it implies that there can be “false gynecomastia” - the appearance of a female like breast in a man that is from fat and not gynecomastia tissue. This would insinuate that the condition is likely to be present only in overweight men. By the same logic, “pseudogynecomastia” implies that the condition will go away when you lose the weight. Unfortunately, although weight loss can make your chest smaller as you lose fat from all over your body, it will not change true gynecomastia tissue. Simply put, “pseudogynecomastia” does not exist.
My theory about how and why gaining excessive amounts of weight can cause gynecomastia is this - when you gain a bunch of weight, you are gaining a ton of fatty tissue underneath your chest, in this hormone sensitive area. You then create these endogenous, or self made, estrogens that come from this extra fatty tissue that, in that localized area, for whatever reason, is forming gynecomastia tissue. Then you lose the weight, the fullness remains and looks even more prominent.
Nearly 98% of the patients who ask me whether they have gynecomastia or fat usually have gynecomastia. It would be wonderful to believe that fat is the single reason for the fullness of their chest, but this is simply not the case. I don’t know of a single person with gynecomastia who lost weight and - poof! - was cured of gynecomastia. In fact for many patients, weight loss can actually make the appearance of gynecomastia more pronounced. As other parts of the body shed fat and become toned, the chest area remains noticeably puffy, and even more so relative to the rest of the body.