It’s important to distinguish this condition from pseudogynecomastia, also referred to as false gynecomastia, where the enlargement is due to an accumulation of fat rather than the development of breast tissue. During the initial gynecomastia treatment consultation, the board-certified plastic surgeon can differentiate between the two through lab tests or physical examinations. If the issue is primarily excess fatty tissue in the chest area, the treatment approach is similar to that of removing excess fat from other body parts. Before contemplating surgical intervention, lifestyle changes such as regular exercise and a healthy diet are usually considered first. If the condition remains unresolved, procedures such as liposuction, sometimes coupled with a lift, may be recommended to reshape the chest.