The Types Of Man Boobs
Puffy Nipples is among the most common forms of gynecomastia. This glandular tissue accumulation is concentrated under and typically confined to the areola, or can be slightly extended outside the areola forming a dome shaped appearance to the areola.
Pure Glandular. In bodybuilders, this may be a result of the use of anabolic steroids. Due to excess testosterone levels from steroids, which is converted to estrogen, bodybuilders and other athletes are sometimes afflicted with gynecomastia in its purest form. Gynecomastia in lean men is usually only a breast tissue gland with little to no adipose tissue. Proper treatment of pure gynecomastia can be done only by excision of the breast tissue, which in the case of bodybuilders is by itself sufficient to achieve a flat nipple-areola complex. Liposuction is only rarely necessary.
Adult. The most common form of gynecomastia. Gynecomastia in most adults is composed of glandular tissue but may contain varying quantities of adipose and fibrous tissues.
Pseudogynaecomastia is composed not of glandular tissue, but of adipose tissue. It looks much like real gynecomastia but requires different treatment. Exercise and diet may be effective in combating pseudogynecomastia. Only if this regimen is unsuccessful should surgery be considered. This is generally the only type of gynecomastia which can be improved with liposuction, but excision may be indicated in some cases. This is also known as "false Gynecomastia" and is often attributed by obesity whereby insulin interacts with an excess of sugars or certain carbohydrates, namely those of which that have been processed.
Pseudogynecomastia-enlarged diameter and or excessive areola projection This may occur independent of adipose tissue and or fibro-sclerotic glandular tissue deposition behind and around the nipple-areola-complex. The surgical treatment protocol is unique to nipple reduction and may or may not be performed with a combination of surgical techniques addressing underlying gynecomastia.
Asymmetric/Unilateral. Unilateral gynecomastia occurs when only one breast is larger due to gynecomastia, the other breast is typically normal in both size and shape. Bilateral Asymmetry occurs when gynecomastia is present in both breasts, each to a different degree.
Severe Gynaecomastia is characterized by excess and/or saggy skin and severely enlarged breasts . This is itself determined in part by age, as older persons suffering from gynecomastia tend to have less skin elasticity and thus will have a greater abundance of excess skin related to gynecomastia. Experienced plastic surgeons will perform as much of the surgical treatment of severe gynecomastia as possible through an aereolar incision so as to avoid extensive scarring. However, some scarring may be unavoidable when treating extreme cases of gynecomastia.
