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Body Treatment

Pseudogynecomastia Surgery


In men, the fat tends to accumulate in the chest and abdomen areas. Fat amassed around the chest area usually results in a puffy or swollen appearance clinically known as lipomastia, adipomastia, or pseudogynecomastia.


Although it may appear like gynecomastia - pseudogynecomastia is actually the accumulation of excess breast fat. Nonetheless, the term "pseudo" should not be waved off lightly as the condition is a real problem for men.

Low Metabolism

Poor dietary habits and lifestyle choices easily contribute to a host of issues, including weight gain and the accumulation of excess fat. Excess fat often results in a slower metabolism, testosterone levels, and aromatase production. The aromatase enzyme converts testosterone to estrogen.

Men produce estrogen, albeit at a lower level compared to women. When a man’s body produces excess estrogen, the more likely that excess fat will be stored. An area where this excess is usually more prevalent is the chest or breast. This is what commonly causes pseudogynecomastia.

Body Fat

When the body produces excess estrogen, it is more likely that excess fat will be stored. Fat also causes the body to produce the aromatase enzyme. 

This enzyme converts testosterone into estrogen and is responsible for slowing down metabolism, which slows down the body’s ability to burn fat – you will lose fat but in lesser amounts. If not addressed, this can lead to more fat being stored, causing an imbalance in the body’s hormone level.

An increased estrogen level in men also results in loss of muscle mass, fatigue and mood swings.

Low Testosterone

Low testosterone levels cause an increase in fat storage as the body’s fat-burning capability is reduced.

This results in weight gain and the production of excess estrogen. One common sign of low testosterone is a decrease in libido. Frequent fatigue is also a sign in men.


While at a glance, gynecomastia and pseudogynecomastia may appear similar, they have distinct causes and characteristics.

Characterised by the overdevelopment of glandular tissue in the chest, which may or may not be accompanied by excess fat.

Primarily caused by an accumulation of excess fat around the chest area.

While the self-check methods below can provide some insights, they are not definitive indicators of these conditions. For an accurate diagnosis and professional assessment, it is strongly advised to consult a doctor who is experienced in treating gynecomastia and pseudogynecomastia.

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FactorsCharacterised by the growth of actual breast tissue resulting from hormonal imbalanceDefined by the enlargement of breasts primarily caused by an excess accumulation of fat tissue
How to differentiatePresenting as a firm tissue mass beneath the areola, distinguishable from the surrounding fatty tissueNot characterised by a mass under the nipple and the breast feels uniformly soft
Common causesTriggered by hormonal fluctuations, specifically changes in androgen and estrogen levels in the bodyDevelops as a consequence of excessive fat deposits around and within the breasts
Treatment optionsSurgical interventions like liposuction and gland excision are common treatmentsManaged through lifestyle modifications, including changes in diet and exercise

Can Pseudo-gynecomastia Be Treated with Exercise and Diet Alone?

For individuals struggling with excess fat in the chest area, the first course of action often involves embarking on a well-structured diet and exercise program aimed at losing excess chest fat. However, despite consistent efforts to adopt a healthy lifestyle, stubborn chest fat can persist.

In cases where diet and exercise prove ineffective, the most effective treatment is chest fat removal and contouring with liposuction.  

While non-surgical approaches like low-energy laser treatments and fat freezing have been promoted for treating pseudogynecomastia, they may not yield satisfactory results for every patient.


Dr Ivan Puah's MDC-Sculpt®️ Lipo technique is a proprietary liposuction approach that is tailored to suit each individual's distinct chest shape, fat distribution, and skin laxity.

The procedure involves the use of specially designed cannulas in various sizes and smaller suction tubes. The patient undergoes twilight sedation and local anaesthesia for safety and comfort.

He then utilises these tools to target fat layers from multiple dimensions, effectively eliminating stubborn localized fat that may not respond to exercise or diet. Simultaneously, this technique also sculpts the chest and encourages skin tightening, a result that traditional liposuction often struggles to achieve.

To address the concern of surgical scarring, Dr Puah strategically minimises incision scars by creating them in a manner that provides efficient access to the fat layers. The outcome of chest fat removal with the MDC-Sculpt®️ Lipo technique is a natural, well-contoured appearance.

Dr Ivan Puah

Dr Ivan Puah is an accredited liposuction doctor and Chairman of Lipo Peer Review Committee in Singapore in Singapore with nearly two decades of liposuction experience.  

Dr Puah has developed two proprietary surgical approaches: 360° Glandular Tissue Dissection (360°GTD®) technique for gynecomastia surgery and MDC-Sculpt® Lipo technique for liposuction.

Breast fat grafting

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Can I just wear a compression garment to manage my condition?

A compression garment does work - in terms of appearance. The underlying issue has to be addressed appropriately, and the first step is to schedule an appointment with a qualified doctor who is in the best position to advise on the necessary measures.

Does Amaris B. provide aftercare treatments?

At Amaris B. Clinic, aftercare significantly assists you with faster recovery and ensures optimum results. We have curated a bespoke aftercare program designed to help you with the healing process, such as MLD Therapy, skin firming and many others.


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