A photograph recently surfaced of Rocker Steven Tyler’s chest. I am writing this blog, not to poke fun at the Aerosmith frontman’s chest, but as an opportunity to discuss a very common problem among men. Gynecomastia, or male chest enlargement, is a complaint of men of all ages. It can develop anywhere from puberty to the 80’s. It can range from only mild chest enlargement or severe chest enlargement resembling female breasts. I have seen countless patients who report that they have not taken their shirt off in public for years, because of embarrassment. Imagine being a teenage boy and being so embarrassed that you will not go to the beach or the pool, or even change in the locker room. Surgical correction is possible and is life-changing!
Breasts are like snowflakes – no two are alike. I have seen a lot of breasts in my lifetime, and I have yet to meet a woman who has a right breast that is identical to her left breast. Some degree of asymmetry is normal and expected. This may be a slight difference in the volume, shape, nipple position, or breast fold height. They may be similar, but never identical. This is why I tell my patients that their breasts are like cousins, no sisters.