Asymmetrical Gynecomastia: Causes, Diagnosis & Customized Correction

  • Posted by: Dr. Milan Doshi
  • Category: Gynecomastia Surgery
Asymmetrical Gynecomastia- Causes, Diagnosis & Customized Correction

Introduction

Does one side of your chest look fuller or puffier than the other? You might be dealing with asymmetrical gynecomastia—a surprisingly common condition where one side of the male chest has more glandular tissue or fat than the other, causing visible imbalance and discomfort in fitted clothing.

While many men assume it’s due to muscle imbalance or poor posture, it’s frequently a sign of a correctable condition that may require gynecomastia surgery. Whether it’s due to hormones, past injuries, or fat distribution, asymmetrical gynecomastia can impact your self-confidence just as much as full bilateral cases.

The good news? At Allure Medspa, Mumbai, Dr. Milan Doshi specializes in restoring natural-looking chest symmetry through personalized gland removal and liposuction—ensuring a flatter, more balanced result with minimal scarring.


What Is Asymmetrical Gynecomastia?

Asymmetrical gynecomastia occurs when one side of the male chest develops more glandular tissue or fat than the other. This imbalance leads to:

  • One nipple appearing puffier or more prominent
  • Uneven chest contour
  • Clothing discomfort or body image distress

It’s more common than many men realize and is often misinterpreted as muscle imbalance or posture issue—when in reality, it’s a correctable medical condition.


Common Causes of One-Sided Gynecomastia

  • Hormonal Fluctuations
    Even mild estrogen dominance can cause one gland to grow more than the other.
    One side may simply be more estrogen-sensitive.
  • Previous Injury or Injections
    Chest trauma or steroid injections may trigger localized tissue overgrowth on one side.
  • Fat Distribution Imbalance
    In overweight men, fat accumulates asymmetrically, especially in pseudo gynecomastia.
  • Medication or Substance Use
    Use of certain medications, alcohol, or marijuana can cause hormonal shifts, affecting one side more visibly.

Note: True asymmetry may involve gland + fat—a proper clinical diagnosis is crucial.


How Is Asymmetrical Gynecomastia Diagnosed?

Diagnosis involves:

  • Clinical examination (pinch test to feel gland)
  • Ultrasound or chest imaging
  • Hormonal blood tests, if imbalance is suspected
  • Measurement of gland size and areola position on both sides

Schedule your consultation with Dr. Milan Doshi for precise grading and analysis.


Can Asymmetrical Gynecomastia Be Corrected?

Absolutely. Treatment is customized to your specific anatomy.

Depending on the case:

  • One-sided gland excision may be enough
  • If both sides are affected differently, a balanced approach is used
  • In mixed cases, liposuction + gland removal ensures natural symmetry
  • Minor fat sculpting on the less-affected side may be added for contour perfection

Learn more: Gynecomastia Surgery Techniques »


Will My Chest Look Symmetrical After Surgery?

Yes—creating balance is the top priority in asymmetrical gynecomastia correction.

Dr. Milan Doshi uses:

  • Real-time side-to-side measurement during surgery
  • Artistic sculpting with HD liposuction
  • Areola re-centering if needed
  • Scar-minimizing periareolar technique

See patient transformations: Before & After Gynecomastia Gallery »


FAQs – Asymmetrical Gynecomastia

Ans. Yes. Many men develop unilateral or uneven gynecomastia, often due to gland overgrowth or fat imbalance.

Ans. Gland feels firm and rubbery under the areola, while fat is soft. An ultrasound confirms the diagnosis.

Ans. Yes. Unilateral correction is common and yields excellent results when done precisely.

Ans. Yes, with expert contouring. Some minor natural chest asymmetry is normal in all humans.

Ans. When it starts affecting your confidence or lifestyle. Early intervention = fewer regrets.

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Author: Dr. Milan Doshi