Gynecomastia, commonly referred to as “man boobs,” is a condition that causes breast tissue to swell in males. It's more common than many realize—affecting men of all ages, from adolescents going through puberty to older adults dealing with hormonal shifts. But recognizing the difference between gynecomastia and excess fat can be confusing. In this post, we’ll walk you through 7 key factors to help you understand if what you’re experiencing is true gynecomastia—and what you can do about it.
The most obvious sign of gynecomastia is noticeable swelling in the chest area. This enlargement typically appears under or around the nipple and may affect one or both sides. Unlike fat from weight gain, gynecomastia results in a rounder, firmer, and more glandular appearance.
This distinction is important because men with pseudo-gynecomastia (chest fat from weight gain) may see a decrease with diet and exercise, while glandular gynecomastia usually remains despite lifestyle changes.
If you’ve been hitting the gym and eating clean but still notice chest fullness, gynecomastia might be the culprit.
One major difference between fat and gynecomastia is glandular tissue. True gynecomastia causes a rubbery or firm lump behind the nipple. You might be able to feel this mass during a self-exam—especially when lying down.
This is an important indicator because fatty tissue is soft and evenly distributed, while glandular tissue feels dense and focused in one area. In some cases, this tissue may be tender or sensitive.
If you're unsure, we recommend a professional evaluation. At Two Palms, we offer Gynecomastia Removal Surgery tailored to remove glandular tissue safely and effectively.
Another common symptom of gynecomastia is nipple soreness or tenderness. This discomfort can range from mild to painful, especially when touched or rubbed by clothing.
Fat doesn’t typically cause this type of sensitivity. If you notice pain, aching, or tingling, it's worth getting checked out. This symptom usually occurs during the early phases of gynecomastia, particularly in adolescents and men undergoing hormone shifts.
Swelling combined with soreness is a strong sign that something more than fat is going on.
Gynecomastia is often caused by hormonal fluctuations, particularly a drop in testosterone or a rise in estrogen. This imbalance disrupts the natural ratio of male-to-female hormones, leading to tissue growth in the chest area.
Common triggers include:
If you’ve experienced mood changes, fatigue, or loss of muscle mass, it might be worth discussing your hormone levels. Many men combine gynecomastia treatment with other Treatments like testosterone optimization or even Hair Loss Medication to address broader hormonal issues.
Several prescription and over-the-counter medications can cause gynecomastia. These include:
Recreational drugs such as marijuana, alcohol, and certain amphetamines have also been linked to gynecomastia.
If your symptoms started shortly after starting a medication or substance, that may be the cause. Talk with a medical provider before stopping any medications.
If you’ve noticed chest fullness that hasn’t gone away despite losing weight, it could be more than fat. Many men with gynecomastia try dieting, weightlifting, or supplements—only to find that the swollen chest persists.
Unlike fat, glandular tissue does not shrink with exercise. That’s why many patients turn to procedures like 360 Liposuction for Men, which targets both fat and gland tissue in one session for a flatter, firmer chest contour.
The longer gynecomastia is left untreated, the more fibrous the tissue can become—making early intervention ideal.
Gynecomastia isn’t just physical—it often takes a toll on mental and emotional well-being. Many men report avoiding swimming, changing in locker rooms, or even intimacy due to embarrassment.
This psychological strain can lead to:
At Two Palms, we understand how vulnerable this condition can make men feel. That’s why our Payment Plans make treatment accessible and stress-free—so you can feel confident again, sooner.
If you’ve noticed any of the signs above—especially a firm lump, chest pain, or changes in nipple shape—you should schedule a consultation. While gynecomastia is typically benign, it’s important to rule out rare but serious conditions like male breast cancer.
At Two Palms, we take a comprehensive approach, including imaging and lab tests, to ensure an accurate diagnosis before treatment. Our team is discreet, compassionate, and focused on helping you make informed decisions.
Want to see what your chest could look like post-surgery? Check out our Before & Afters gallery.
Depending on the severity and cause of your condition, you have several treatment options:
Our Gynecomastia Removal Surgery is designed to restore a natural, masculine chest appearance. We also offer combination treatments, like Bro-tox - Botox for Men to target wrinkles.
At Two Palms, we specialize in men’s cosmetic surgery and wellness services in South Texas. Our board-certified providers deliver personalized treatment plans in a discreet, supportive environment.
Whether you're dealing with gynecomastia, hair loss, or aging concerns, our team is here to help you feel and look your best.
We also provide:
Explore our full list of services and get to know our philosophy on the About Us page.
Gynecomastia can be frustrating, confusing, and even isolating—but you’re not alone. Understanding the signs and knowing what to look for can help you take back control of your confidence.
If you're still wondering, “Do I have gynecomastia?”—it’s time to get a professional opinion. Our team is ready to provide expert guidance and a personalized plan that fits your goals.
Don’t let self-doubt hold you back. Reach out to Two Palms for a private, judgment-free consultation and find out how we can help you achieve the chest (and confidence) you deserve.
Las consultas por teléfono y video son GRATUITAS. Las consultas presenciales cuestan 200 dólares y se incluyen en el costo de la medicación/cirugía.
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