What are the symptoms of Gynecomastia? Do I have it? (Photo)

What are the symptoms of gynecomastia? I've heard you will have a bump behind your nipple and/or your nipple tends to be sensitive. Mine are neither, but I've provided photos to help you diagnose me. 2 people on this website have already said I do, I'm hoping I might just have pseudogynecomastia. If I do have the latter, is surgery the only way to fix it? Would it reduce puffiness and nipple size?

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Gynecomastia can be glandular and or fat. When it is fatty, liposuction removes the fat. When it is glandular you have extra breast gland which grows and is firm. This can cause protrusion of the nipple. It looks like you have a mild case, which can be treated surgically by removing part of the gland under the nipple. Thus will flatten the nipple and leave a small scar around the areola. Liposuction does not work for glandular gynecomastia.

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