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Pseudogynaecomastia in Naples: differential diagnosis and treatment

Pseudogynaecomastia in Naples is a male aesthetic concern mainly associated with fat accumulation in the chest area. At Centro Medico Gargano, medical assessment together with targeted ultrasound, performed by Dr Gargano, distinguishes pseudogynaecomastia from true gynaecomastia and establishes whether injection treatment for localised fat or another targeted approach is appropriate.

Pseudogynaecomastia or true gynaecomastia: why the distinction matters

Before choosing treatment, it is important to establish whether enlargement of the male chest is mainly due to localised fat, glandular tissue or a combination of both. Pseudogynaecomastia is more often associated with localised fat, excess weight or individual predisposition, whereas true gynaecomastia may require different assessments. A medical consultation is therefore essential before recommending injection treatment for localised fat or other treatments.

The main cause of pseudogynaecomastia is increased body fat. Some studies have found that diets high in fat and simple carbohydrates may promote the growth of fatty tissue in the male chest. Irregular exercise or a lack of exercise can also lead to fat accumulating in this area.

Pseudogynaecomastia in Naples: how it is assessed

Assessment of pseudogynaecomastia begins with a clinical examination of the male chest. It is important to establish whether the increase in volume is mainly due to fatty tissue, glandular tissue or a combination of both. When needed, ultrasound (using a high-frequency linear probe and vascular mapping for a safer procedure) provides a clearer view of the tissues and helps distinguish localised fat from other conditions requiring different care. This step is essential because treatment should be chosen according to the actual tissue composition and the patient’s characteristics, rather than external appearance alone.

Pseudogynaecomastia in Naples: which treatments are available?

One of the treatments available for pseudogynaecomastia with established effectiveness is Aqualyx injection treatment for localised fat. This involves injecting a medicine directly into the fatty area. The medicine, called Aqualyx (based on sodium deoxycholate), destroys fat cells, which are then naturally removed from the body through the lymphatic system. Liposuction is another possible treatment that Dr Gargano performs in selected cases.

How is treatment performed?

Treatment is performed under ultrasound guidance: administration of the medicine is guided safely because the very fine needle is inserted into the fat and continuously visualised. This real-time view helps avoid vascular structures and confirms that the needle remains in the correct tissue plane. Treatment is generally well tolerated, and the patient returns to work immediately.

The number of sessions needed depends on the severity of the condition and the desired result. Sessions take place every 3–4 weeks.

Dr Gargano in Naples is experienced in this type of treatment. He has extensive experience in treating pseudogynaecomastia with fat-dissolving injections and has successfully treated many patients. This minimally invasive approach offers an opportunity to reduce chest fat without invasive surgery.

The safety and effectiveness of injection treatment for localised fat make it an ideal choice for many patients. Where indicated, it can form part of medical aesthetic treatments for the body. However, as with any medical treatment, there are potential risks and complications. It is important to consult an experienced doctor, such as Dr Gargano, to discuss whether this treatment is suitable for you.

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Dr Gargano places great importance on personalised patient care. He understands that every individual is different and that the best way to achieve optimal results is a tailored approach that considers the specific features of each case.

In conclusion, pseudogynaecomastia is common in men who are overweight or obese. Although it may cause discomfort or embarrassment, effective options such as injection treatment for localised fat are available. With Dr Gargano’s experience and expertise, patients can expect high-quality care and visible results.

Sharing your experience and discussing your concerns with an experienced doctor is the first step towards regaining confidence. Treating pseudogynaecomastia with fat-dissolving injections can offer a fresh start with improved health and wellbeing.