Man sits on floor with enlarged breast tissue that may be gynecomastia.Excess fullness in the male chest can be a frustrating and often misunderstood concern. Whether you notice puffiness around your nipples or overall chest enlargement, it’s important to understand what’s causing these physical changes before exploring treatment options. What it comes down to is two distinct conditions: gynecomastia and pseudogynecomastia. At his Long Island practice, board-certified plastic surgeon Dr. David Funt offers precise evaluations and tailored solutions like male breast reduction to restore masculine definition and confidence to the upper torso.

What Is the Difference Between Gynecomastia and Pseudogynecomastia?

Gynecomastia is the development of glandular breast tissue in males, often triggered by hormonal fluctuations, certain medications, or genetics. It can appear as firm, rubbery tissue beneath the nipple area and may affect one or both sides of the chest.

By contrast, pseudogynecomastia is caused by excess fat accumulation in the chest. This type of fullness tends to feel softer and is often linked to weight gain or body composition. While both conditions may look similar, the underlying causes are very different, which is why an accurate diagnosis is key.

Why Proper Diagnosis Matters

Understanding whether the fullness is glandular or fatty plays a major role in determining the best treatment plan. Dr. Funt performs a careful physical exam and may use imaging to assess the nature of the tissue. If the issue is true gynecomastia, surgical removal of glandular tissue is typically the most effective solution. For pseudogynecomastia, liposuction alone may be sufficient to sculpt a flatter, more defined chest.

In some cases, both fat and glandular tissue are present, and Dr. Funt may recommend a combination approach for the most natural, refined results. His artistic eye and advanced techniques allow him to restore contour while minimizing scarring and downtime.

The Benefits of Treatment

Addressing chest fullness, whether from gynecomastia or pseudogynecomastia, can significantly improve how you feel in your skin. After treatment, you are likely to feel more comfortable in fitted clothing, more confident at the beach or gym, and more aligned with your ideal body image. Results are designed to look masculine, proportionate, and subtle.

Expert Care for Male Chest Contouring

If you’re unsure whether your concern is gynecomastia or pseudogynecomastia, Dr. Funt offers the clarity and experience needed to help you confidently decide on your care. With a focus on discreet, natural-looking results, he is a trusted choice for male patients across Long Island.

If you are ready to schedule a private consultation, contact our Roslyn Heights or Woodmere offices at (516) 295-0404.