Can Gynecomastia Be Present On Only One Side?

man with shirt off

For men with gynecomastia, the condition can be debilitating. Although gynecomastia is not physically harmful, the emotional toll it can take on a man’s life is devastating. Many men who have gynecomastia experience anxiety, depression, and embarrassment about their enlarged breasts and even avoid certain social activities, such as swimming or going to the beach. While the vast majority of patients with gynecomastia have bilaterally enlarged male breasts, meaning the condition is present on both sides, a small percentage of men develop unilateral gynecomastia. It may seem like one-sided gynecomastia is a “better” alternative, but in reality, the asymmetry can often be more difficult to cope with than having gynecomastia on both sides.

Experienced plastic surgeon Dr. Ryan Couvillion and the caring team at Luminary Plastic Surgery fully understand the sensitive and personal nature of this condition and are dedicated to providing discreet, effective, and individualized care for Houston, TX gynecomastia patients. Learn more here about gynecomastia, what causes it, and how cosmetic surgery can restore a more symmetric, masculine physique and help you once again feel confident and comfortable about your body.

What causes gynecomastia?

Gynecomastia, or enlarged male breasts, can be caused by a number of things. Most commonly, gynecomastia is associated with a hormonal imbalance or fluctuation. For this reason, gynecomastia is often seen as a temporary condition in infants who still have some of the mother’s hormones remaining in their system and adolescents going through puberty. However, men can develop enlarged male breasts at any time for a variety of reasons. Some of the most common causes of gynecomastia include:

  • Hormone changes
  • Medications
  • Steroids
  • Genetics
  • Medical conditions
  • Weight gain (fatty gynecomastia)

Can you develop gynecomastia in one male breast?

While it is less common, gynecomastia can certainly be present on just one side. Although most people, even women, do not have perfectly symmetric breasts, unilateral gynecomastia often causes a significant level of asymmetry that can be embarrassing and difficult to conceal with clothing. Fortunately, cosmetic surgery can be a fantastic solution for correcting gynecomastia, whether it is on one side or both.

Can gynecomastia be treated without surgery?

One of the most important steps in gynecomastia treatment is to determine the cause of your condition. For some Houston, TX patients, a change in their medications may be enough to correct the breast enlargement. In other cases, when the patient has fatty gynecomastia, meaning the excess tissue is fatty rather than glandular, weight loss may be an effective solution. However, cosmetic surgery is often required to correct true glandular gynecomastia and, ultimately, achieve the masculine look patients desire. Dr. Couvillion is highly experienced in the various techniques and technologies used to treat gynecomastia and can help you determine the course of action that best meets your needs.

How does gynecomastia surgery work?

Whether a patient has gynecomastia in one male breast or on both sides, bilateral treatment is typically the best method for achieving the closest possible symmetry and the most appealing result. The technique used will depend on the patient’s body type, how much excess tissue is present, and other factors. Typically, however, gynecomastia surgery is performed while the patient is under general anesthesia, and involves an incision near the nipple and the use of liposuction to remove fat from the chest. In more severe cases of gynecomastia, Dr. Couvillion may also need to remove tissue surgically, tighten the skin, and even reposition the nipple for a more masculine appearing chest.

What do gynecomastia scars look like?

The location and appearance of the scars after gynecomastia surgery will depend on the surgical approach and other treatments or procedures that may be performed simultaneously. Dr. Couvillion understands the desire to have minimal visible scarring and makes every effort to place his incisions so that the resulting scars can be concealed or camouflaged as much as possible. The overwhelming majority of patients agree that the dramatic improvement in their physique is well worth the presence of a scar.

Am I a good candidate for gynecomastia surgery in Houston, TX?

Most adult men who are in good health, do not smoke, and have excess fatty and/or glandular male breast tissue on one or both sides can be considered for gynecomastia surgery. The best way to find out whether or not you qualify for gynecomastia surgery is to be evaluated by a highly experienced and knowledgeable plastic surgeon. Call the friendly team at Luminary Plastic Surgery in Houston, TX today to schedule your one-on-one consultation with exceptional plastic surgeon Dr. Ryan Couvillion, and take back control of your life and self-confidence with gynecomastia surgery.


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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.