Table of Contents
- Introduction
- What Is Asymmetrical Gynecomastia?
- Common Causes of One-Sided Gynecomastia
- How Is Asymmetrical Gynecomastia Diagnosed?
- Can Asymmetrical Gynecomastia Be Corrected?
- Will My Chest Look Symmetrical After Surgery?
- FAQs – Asymmetrical Gynecomastia
Introduction
Does one side of your chest look fuller or puffier than the other? You may be dealing with asymmetrical gynecomastia—when one side has more glandular tissue or fat, causing visible imbalance and discomfort in fitted clothing.
Many assume it’s muscle imbalance or posture, but it’s often a correctable condition that may benefit from gynecomastia surgery. Whether due to hormones, injury, or fat distribution, asymmetry can affect confidence as much as bilateral cases.
At Allure Medspa, Mumbai, Dr. Milan Doshi restores natural-looking symmetry with personalized gland removal and liposuction—aiming for a flatter, balanced chest with minimal scarring.
What Is Asymmetrical Gynecomastia?
Asymmetrical gynecomastia occurs when one side of the male chest develops more gland and/or fat than the other. Typical signs include:
- One nipple-areola appearing puffier or more prominent
- Uneven chest contour
- Clothing discomfort or body-image distress
It’s more common than most realize and is often mistaken for a training or posture issue—when it’s actually a medical condition with targeted solutions.
Common Causes of One-Sided Gynecomastia
- Hormonal fluctuations: Even mild estrogen dominance can stimulate one side more; individual tissue sensitivity varies.
- Previous injury or injections: Trauma or steroid injections may trigger localized overgrowth.
- Fat distribution imbalance: In overweight men, fat may accumulate asymmetrically (pseudogynecomastia).
- Medication or substances: Certain drugs, alcohol, or marijuana can shift hormones and accentuate one side.
Note: True asymmetry often involves both gland and fat—proper clinical diagnosis is essential.
How Is Asymmetrical Gynecomastia Diagnosed?
- Clinical examination (palpation/pinch test to feel firm gland vs soft fat)
- Ultrasound or appropriate imaging to map tissue type and volume
- Hormonal blood tests if imbalance is suspected
- Side-to-side measurements of gland size and areola position
Book a consultation with Dr. Milan Doshi for precise grading and planning.
Can Asymmetrical Gynecomastia Be Corrected?
Yes. Treatment is customized to your anatomy and goals:
- Unilateral gland excision when only one side has firm gland
- Asymmetric cases: balanced sculpting on both sides for even contours
- Liposuction + gland removal for mixed (gland + fat) presentations
- Selective fat sculpting on the less-affected side for final symmetry
Learn more: Gynecomastia Surgery Techniques »
Will My Chest Look Symmetrical After Surgery?
Creating balance is the top priority in asymmetry correction. Techniques include:
- Real-time side-to-side intra-operative measurements
- Artistic contouring with high-definition liposuction
- Areola re-centering when indicated
- Scar-minimizing peri-areolar access
See transformations: Before & After Gynecomastia Gallery »
FAQs – Asymmetrical Gynecomastia
Q1. Is it normal to have gynecomastia on only one side?
Ans. Yes. Unilateral or uneven gynecomastia is common and typically reflects gland overgrowth and/or fat imbalance.
Q2. How do I know if it’s gland or just fat?
Ans. Gland feels firm and rubbery beneath the areola; fat feels soft and diffuse. An ultrasound confirms the tissue type.
Q3. Can I get surgery on just one side?
Ans. Yes. Unilateral correction is routine and can yield excellent symmetry when precisely planned and executed.
Q4. Will both sides match perfectly after surgery?
Ans. Near-symmetry is the goal. Minor natural asymmetry is normal in all humans, but expert contouring minimizes visible differences.
Q5. Will the scar be visible on one side only?
Ans. Access is usually via a small peri-areolar incision on the treated side; the fine scar blends with the areola border and typically fades well over time.
