Adipomastia
Excess male breast skin and fat without glandular enlargement.
Adipomastia, also called pseudogynecomastia or colloquially fatty breasts, is a condition in men characterized by excess skin and a flat layer of adipose tissue on the chest without true gynecomastia. It is commonly seen in men with obesity and is particularly noticeable after massive weight loss. The condition differs from gynecomastia, which involves female-like protruding fat or glandular tissue, and can be distinguished by palpation and the absence of breast pain.
Quick Facts
- Field
- Plastic surgery
- Causes
- Weight loss, Weight gain
- Differential
- Gynecomastia
- Treatment
- Liposuction, surgery.
Facts from the source article.
Diagnosis
Adipomastia is classified into three grades. Grade one has minimum excess fat and skin, with limited change in nipple placement and inframammary fold descent; grade 1a lacks a lateral excess skin roll, while grade 1b shows one. Grade two involves a nipple-areola complex and inframammary fold below the optimum, a lateral chest roll, and limited upper abdominal laxity. Grade three includes these features plus substantial upper abdominal laxity.
Treatment
Treatment for adipomastia depends on its grade. Grade 1a involves liposuction with ultrasound and suction, then later excision if needed. Grade 1b adds direct removal of the lateral chest roll. Grade 2 may require a dermoglandular pedicled reconstruction. For Grade 3, free-nipple grafting is used because of the large amount of tissue removed.
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