San Francisco Bay Area men have asked if their men breast or gynecomastiaÂ is caused by excess breast tissue or by fat alone, hoping that if it is fat alone they may be able to get rid of it by weight loss or liposuction.Â Most often it is a combination of both, or sometimes caused by skin and sagging tissue.
Breast tissue feels firmer than fat, but the patient probably cannot tell the difference. It is almost impossible to tell if the gynecomastia breast is fat or gland from a photo, even with clinical examination it can be difficult to determine.
Some men choose to try weight loss to correct the condition before having male breast surgery. This may be successful if the developed breast is caused by fat alone, however if there is glandular tissue involved, once the fat has been reduced the remaining breast tissue may be even more apparent.
The patient can try feeling the breast for signs of a firm lump under the nipple, which may or may not be accompanied by tenderness or soreness. If a lump is felt it is recommended to see a physician or Board Certified Plastic Surgeon to determine if it is a benign symptom of gynecomastia or a rare form of breast cancer in men.
It is believed that the use of marijuana or anabolic steroids, medications containing estrogen, or impaired liver function may contribute to gynecomastia.