Gynecomastia in adults is usually a combination of pseudo gynecomastia (fatty tissue) and true gynecomastia (breast tissue) with more of one or the other component depending in part of the patient's weight, endocrine factors, medication that the patient has used, and other substances as embolic steroids and marijuana. Appropriate specimens are sent for pathology.
As with all cosmetic surgery, results are most gratifying when expectations are realistic.
