: What are the most significant breast tissues in Gynecomastia? From prior research I understand that only these types of tissues can cause gynecomastia: Adipose tissue ("watery") Mammary Gland Tissue ("viscous") Excessive

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What are the most significant breast tissues in Gynecomastia?
From prior research I understand that only these types of tissues can cause gynecomastia:

Adipose tissue ("watery")
Mammary Gland Tissue ("viscous")
Excessive skin tissue ("saggy")
Connective Tissue fibrosis ("harsh")

I further understand that the similar problem lipomastia is specified by excessive Adipose tissue in chest with very little (sub clinical) amount, if at all, of Mammary Gland Tissue and/or Connective Tissue and/or Excessive skin tissue hence treatment is primarily liposuction or other anti-adipose therapies.

My problem

I might understand wrong in regards to both gynecomastia and lipomastia and excessive chest lobe tissue is also significant, if not at least a possible cause.

My question

What are the most significant breast tissues in Gynecomastia?

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