True gynecomastia is enlarged male breast tissue. Pseudo-gynecomastia is excess fat throughout the chest area, which leads to the appearance of enlarged male breasts. Often, pseudo-gynecomastia is caused by major weight gain. Sometimes, patients can have a combination of the two. During consultation, Dr. Krau evaluates the cause and anatomy of the enlarged male breasts. Based on this information, he recommends an appropriate treatment plan.