Types of Gynecomastia – Gynecomastia is a condition when there is an imbalance between the hormones estrogen and testosterone in males. There is an increase in estrogen levels in the males, and it makes the breast glandular tissue swollen, and it results in the enlargement of breasts in men. It can be caused by puberty, aging, medication, and health conditions that affect hormones. It is a small, rubbery lump and that area feels sore, and it feels under the nipples. This condition can occur to one chest or both. Usually, it is not harmful and goes away without any medication. In severe conditions, you need to consult with doctors to diagnose them.

Glandular Gynecomastia

It means that men’s bodies start producing estrogen at a higher level, and it results in low-level testosterone. It may result in breast enlargement and makes the breast gland tissue swollen and sore, and it is a button-size in shape, lumpy, rubbery, and moveable within the breast tissue under the nipples. It refers to the increase in the glandular tissue of the breast in men.

Causes of Glandular Gynecomastia

  • 1. Certain conditions can cause breast enlargement, i.e., adrenal tumors, alcoholism, kidney disease, liver disease, and thyroid disease.
  • 2. Medications are taken to treat anxiety, depression, enlarged prostate, heart diseases, and male infertility can cause gynecomastia. 
  • 3. Marijuana, opioids, anabolic steroids, and herbal supplements can cause this.

Treatment for Glandular gynecomastia

  • 1. Stop taking medicines that cause breast enlargement.
  • 2. Breast cancer and glandular gynecomastia both have breast lumps, so doctors have to do some tests like
  1. Breast ultrasound – view detailed images of breast growth.
  2. A mammogram – is done to examine unusual growths of breast issues.
  • 3. Breast reduction surgery is also the option to make the breasts smaller.

Hormone treatment for gynecomastia

There are three classes of medical treatment for gynecomastia are

  • 1. Androgens
  • 2. Anti-estrogens
  • 3. Aromatase inhibitors such as letrozole and anastrozole.
  • 4. These treatments are done to diagnose gynecomastia. 

Fatty Gynecomastia treatment

It occurs due to fat deposition in the pectoral area of the chest. It is usually found in an obese mean or overweight men. There is an increase in the size of the breast due to fatty tissue over the breast area. As it is not the same as glandular gynecomastia and only creates the appearance of enlarged breasts, it is known as ‘pseudo gynecomastia.’ It creates the bilateral- appearance of the breast.

Causes of Fatty Gynecomastia

Obesity is the main cause of pseudo-gynecomastia and is caused by excess fat in the body. 

It means carrying a large amount of fatty tissue in their chest and feels like breasts.

Excessive Skin Of The Breast Area

It refers to that condition where the man has skin laxity due to weight loss, weight fluctuation, or the aging process. It happens to those people who have gynecomastia beforehand and have saggy breasts due to excessive skin and laxity. Some of the men have severe breast sag and breast tissue that extends to the armpit and the back and creates a breast roll around the back.

Type 1 gynecomastia treatment without surgery

There are many non-surgical ways to get rid of type 1 gynecomastia. Is

  1. 1. Try to lose weight – It may help in breast size reduction.
  2. 2. Do dieting and exercising daily – It helps in maintaining a proper diet and can balance hormones and burn fat tissues.
  3. 3. Stop taking steroids and drugs – It can increase the chance of getting breasts.
  4. 4. Limit alcohol intake – It can also increase the risk of breast enlargement.
  5. 5. Take hormone therapy – these treatments helps to balance the hormones in men.


It can be said that it is not important to treat gynecomastia, but if it creates discomfort for you and leads to a medical condition, then you must connect with your doctor. If you are looking for gynecomastia surgery, then you can contact Glamyo Health because we have expert surgeons. We provide personalized care to our patients. During the surgery, we provide you with a care buddy who will be with you during the entire surgery to ensure that your surgery is going well. We focus on providing a hassle-free experience to our patients. 

Frequently Asked Questions

How to know the type of gynecomastia?

Blood tests, mammograms, and biopsies are some ways that will be performed by your doctor to diagnose gynecomastia. 

How can you tell the difference between true and pseudo-gynecomastia?

Gynecomastia means the growth of the breast tissue, whereas pseudo-gynecomastia means the enlargement of breasts because of high-fat deposition to the breast. 

How many types of gynecomastia surgery are there?

Mastectomy, liposuction, and a combination of these two surgeries are the types of gynecomastia. 

What is the major of glandular gynecomastia?

When androgen and estrogen hormones get imbalanced, then it may lead to glandular gynecomastia.

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