Male Body Builder Chest Fat

Not sure if I have gyno and I've never taken steroids but I've got a well trained chest. My chest does have some fat puffiness and I look alot like some doctor's "before" patients for gyno. Instead of surgery, I wonder if I should take something to lower my estrogen?

Doctor Answers 16

Body Builder and gynecomastia

Many of my gynecomastia are very actice and in fact, many are body builders. This is very frustrating as they are working so hard to maintain an ourstanding physique. With all of my patients, the goal is to remove excess, unwanted fat and breast tissue with scars that are as close invisible as possible. 


Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 111 reviews

Chest Fat in a Male Bodybuilder

Gynecomastia is more common than many people think, occurring transiently in 30 - 70% of men as they go through adolescence.  The majority of cases resolve--up to 95%. But even 5% of 30% is a big number, and if the condition doesn't resolve after puberty, it may persist as glandular or fatty tissue in spite of a rigorous training program and full pectoral development.  This can result in puffiness of the nipple as well as general fullness in the lower chest.  Hormone levels in most instances are normal, since the problem really developed long ago.  Therefore, hormonal manipulation, such as lowering estrogen, will have no effect and might have other side-effects.  If gynecomastia is a late development outside of puberty, then an evaluation is necessary to rule out other causes. If it's related to steroid use, then the cause is readily apparent, and perhaps stopping the drug will allow for resolution.  In most cases, however, if the gynecomastia is well established, surgery is required to correct it.

Richard Silverman, MD
Newton Plastic Surgeon
3.7 out of 5 stars 6 reviews

Hormone levels with gynecomastia

SEE VIDEO BELOW FOR SAMPLE SURGICAL RESULTS:

If you have questions about your hormone levels, you should first seek evaluation by your primary care physician or an endocrinologist to verify your endogenous hormone levels first.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 72 reviews

Gynecomastia in male body builders

Many cases of gynecomastia are called idiopathic, meaning there is no hormone imbalance or other cause to explain it. 

If if you have firm or fatty tissue in your chest, surgery may be a better fix than hormone treatment without lab testing or the guidance of an endocrinologist. 

Consider an in person consultation since a full history and exam will help determine how best to help you get the chest appearance you desire. 

Dana Goldberg, MD
Jupiter Plastic Surgeon
5.0 out of 5 stars 31 reviews

Gynecomastia in Body Builders

Hi,

Thanks for the post. Typically gynecomastia in body builders is more glandular in nature and not due to excess fat. It is an incorrect assumption that if a body builder has gynecomastia, it must be due to steroid use.  There are many different causes of gynecomastia, such as medications, endocrine disorders, and genetic predisposition.  I recommend that you be evaluated by a plastic surgeon experienced in gynecomastia surgery before trying to manipulate your own hormone levels. 

Sincerely,

Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 39 reviews

See a surgeon first

I don't think taking pills will help. First, you should consult with a board certified and experienced plastic surgeon to determine what is causing your gynecomastia. It could either be fat or glandular tissue, or loose skin. Then, an appropriate treatment plan can be designed for you.

Male Body Builder Chest Fat

There are no known effective medications for gynecomastia treatment.  See a board certified plastic surgeon for an evaluation and recommendations.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 67 reviews

Hormonal Therapy Will Not Be Effective For You; Subcutaneous Mastectomy Necessary

 

                  It’s not unusual for weight lifters to develop gynecomastia. This may occur for a variety of reasons including the use of anabolic steroids and dietary supplements. In addition, hypertrophy of the pectoralis muscles and lowering of body fat percentages can make existing gynecomastia more noticeable.

                  This group of patients is very sensitive to body image and for this reason gynecomastia represents a significant problem. Although the idea of hormonal therapy sounds attractive, it would not be effective in this group of patients since the majority have normal hormone levels.

                  In the vast majority of weight lifters, a subcutaneous mastectomy will be necessary. When this problem occurs patients should discontinue any steroids or dietary supplements that they may be taking. Consultation with a board certified plastic surgeon would also be appropriate. 

Is Surgery needed for a small BB breast?

When a bodybuilder has a very small gynecomastia,the chance is that it is glandular tissue and not Fatty tissue.The surgery in such cases is for aesthetic reasons,and is only needed when the BB does not like his chest aesthetics. 

Mordcai Blau, MD
New York Plastic Surgeon
4.7 out of 5 stars 50 reviews

Chest fat in a male bodybuilder

 

In the male bodybuilding population, we can see patients to have access of fat or tissue in the nipple area area in some of these patients who are very thin or have a low fat density, it is important to determine if this tissue is the result of medications or other chemicals. The patient should be counseled on this and encouraged to avoid such medications. In male breast reduction patients, we can often easily excised this tissue in a small procedure using local anesthesia and a small incision around the base of the areola.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.