True gynecomastia involves firm, rubbery glandular tissue behind the nipple. Chest fat, or pseudogynecomastia, consists of soft adipose tissue spread across the chest. Doctors diagnose it through physical exams, hormone blood tests, and breast ultrasound. Weight loss typically reduces fat but does not eliminate glandular tissue.
- Tissue texture: True gynecomastia feels like a dense, rubbery disc. Chest fat is soft.
- Physical exam: Surgeons perform a pinch test to locate firm masses behind the areola.
- Hormonal profile: Blood tests check testosterone and estrogen levels to identify underlying imbalances.
- Diagnostic imaging: Ultrasound serves as the gold standard to distinguish glands from fatty tissue.
Bookimed Expert Insight: While a physical exam is common, Korean clinics like VG Plastic Surgery and JK Plastic Surgery Center favor rapid 10-minute ultrasounds. Specialists like Dr. Francis Jeon, who has performed over 3,000 procedures, use these scans to prevent unnecessary liposuction on glandular tissue.
Patient Consensus: Patients highlight that true gynecomastia feels like a hard lump that won't shrink even after significant weight loss. They suggest asking specifically for an ultrasound during your consultation to avoid any guesswork before starting treatment.