Author Topic: How to tell if you have gyne or pseudo  (Read 2716 times)

Offline risingsun

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i had a little puffiness eversince i could remeber

last year i gained 60 pounds and i notice that i have a lot of fat i think in my breast area

i felt on my nipple and under my nipple i can feel a couple of rings/rocks put only when i press hard and look for these directly under my nipple. Everywhere else it is flabbery and watery like everywhere else on my body.


When i gained weight i also relized that i had a lot of fat go to my butt, but that feels normal just bigger.


do i have primarily pseduo gyne or true gyne.

Offline Vanatu

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Offline risingsun

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im getting a  camera next week but i was just wondering what you guys think of my self diagnosis

what do you guys believe it is from my description, ill post ASAP

DrBermant

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Quote
i had a little puffiness eversince i could remeber

last year i gained 60 pounds and i notice that i have a lot of fat i think in my breast area

i felt on my nipple and under my nipple i can feel a couple of rings/rocks put only when i press hard and look for these directly under my nipple. Everywhere else it is flabbery and watery like everywhere else on my body.


When i gained weight i also relized that i had a lot of fat go to my butt, but that feels normal just bigger.


do i have primarily pseduo gyne or true gyne.


Losing Weight can make a big impact on the fat and sometimes the skin.  Gland is not reduced with weight loss.  In addition, you cannot pick where the fat will come from with weight loss.

Wearing the extra fat is not healthy.  Check out your risks with a BMI Calculator (Body Mass Index)

As the skin envelope is no longer filled with fat, Drooping Breasts or Ptosis can happen.  Skin can tighten over time, often several months.  After Massive Weight Loss the skin sometimes just does not tighten enough.  Building muscle is one way of filling a loose skin evelope of the male chest.

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, of my standard set of images can show a region that compresses differently.  Even clinical examination differentiation can be difficult.

Fat tends to be soft, gland tends to be firm.  Fingers of gland often dissect between fingers of fat.  Look at this drawing and move your mouse over the arrows.  However, gland can be soft and fat firm confusing the picture.  Gland tends to be located under the nipple and pinching pressure can sometimes tether to the nipple pulling it in.

Men with excessive fat do tend to have certain contour issues.  Check out this link about Sumo Wrestlers.  Men tend to carry excessive weight in their chest and stomach.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture


 

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