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Patient 19634
This patient lost twenty pounds and was interested in liposuction. On examination I noted fullness in his chest area. If I were to perform liposuction of his abdomen and love handles alone without treatment of the fullness in his chest it would look even more prominent. Fortunately for him, the chest area was contoured successfully with liposuction alone and did not require an incision around his areola with removal of fibrous/breast tissue. Pseudogynecomastia refers to fullness in the chest area that is fat and not actual breast or fibro fatty tissue. Men who are overweight can also gain fat mass in the chest area that can appear like gynecomastia. Examination of the chest by a qualified expert can usually determine if the fullness in the chest is fat or fibrous/breast tissue. Fat can be removed with liposuction whereas fibrous/breast tissue requires surgical removal during surgery for gynecomastia through an incision about the areola.
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