I'm Almost 18 Years Old and Have Severe Gynecomastia? (photo)

I'm sorry to hear about the difficulties you have experienced because of the appearance of your chest wall. Fortunately, the situation can be corrected with a well performed procedure. I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.

I would suggest that you achieve a long-term stable weight prior to undergoing this procedure. I would also suggest that you meet with well experienced board-certified plastic surgeons for in person consultation. 

 Best wishes.

The good news is that this is not a particularly difficult surgery.  A small incision about 1/4" is made just to the side of your chest and tumescent fluid placed into the chest/breast area.  Liposuction will decrease the size of your breast and the size of your nipple areolar complex.  Next, a 3/4" incision is made just at the edge of your nipple areolar complex and some gland is removed.  This has to be done very carefully.  If too much gland is removed, you will have an inverted, unattractive looking nipple.  Also, this tissue must be sent to pathology since male breast cancer is a reality. 

Scars on transsexual males at the edge of the areola may be more visible because something is being put in, and therefore there is more tension leading to increased scarring.  The incision at the edge of your areola should be less visible because actually we are taking some out which would lead to less tension, therefore less scarring. 

Gynecomastia, whether it is fat or gland or both, is incredibly embarrassing and I feel your pain, but if you do this for yourself, it will make a world of difference in your life.