Pseudogynecomastia is a condition in which the male breast tissue appears enlarged, but there is no actual growth of glandular breast tissue. Instead, the enlargement is caused by an increase in body fat in the chest area. Pseudogynecomastia can be caused by obesity, hormonal imbalances, or certain medications. It is often treated with lifestyle changes, such as weight loss and regular exercise, to reduce the amount of body fat in the chest area. In some cases, liposuction may be used to remove excess fat and improve the appearance of the chest. Unlike true gynecomastia, which involves the growth of glandular tissue, pseudogynecomastia does not usually require surgical removal of breast tissue.