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 17

Body Builder and gynecomastia

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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 123 reviews

Chest Fat in a Male Bodybuilder

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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
4.0 out of 5 stars 8 reviews

Hormone levels with gynecomastia

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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 86 reviews

The Causes of Gynecomastia

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According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. 

Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.

There are three types of surgical #treatment #options available that treat gynecomastia. A board-certified plastic surgeon will recommend the type best suited based on the individual. The most important decision to be made before performing any surgical procedure is determining whether who is an ideal #candidate. 

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Gynecomastia in male body builders

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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
4.9 out of 5 stars 41 reviews

Gynecomastia in Body Builders

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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. 


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 51 reviews

See a surgeon first

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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

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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 88 reviews

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

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                  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?

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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
4.6 out of 5 stars 89 reviews

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.