Asymmetrical gynecomastia can include one or both breasts. Unilateral gynecomastia occurs when only one breast is larger, while the other breast is often normal both in size and shape. Bilateral Asymmetry occurs when gynecomastia is present in both breasts, but in varying degrees. Different amounts of glandular tissue affects the size, shape, and location of the enlarged area on the chest wall, the size of the areolas, as well as the diameter of the nipples.
As with all cosmetic surgery, results are most gratifying when expectations are realistic.