35, male, trying to figure out if I have gyno or chest fat? (Photos)

Like most cases of gynecomastia, you would likely benefit from liposuction with careful gland excision and fat advancement flaps to maximize your contour. I would also suggest liposuction of front bra rolls (side breast/chest area) to maximize your contour.

Every male has a glandular bud. If you are experiencing excess tissue in the area it could be from weight gain. A lot of times even when men lose weight and are in great shape, they can still present excess tissue in the breast area. Seeking guidance from a professional at an in person consultation would be the best option. If you are unsure and let's say comfortable with the weight you are at, you could always elect to have the Gynecomastia surgery just to remove the bud or excess tissue regardless.

Hi- thank you for your question. You do have some chest fat and possibly gland (would require an examination) that could be removed to improve the chest contour. Exercise in terms of body fat lowering would help. Gland is not going to be exercised away. Best to speak to a board certified plastic surgeon.

From the photos it looks like you have a breast bud that the nipple and areola are formed from during development. Most likely, weight loss is not going to make that better. Your ultimate solution would be central mound excision with liposuction and the scar would be hidden within the areola.

Dear EVV505,

Thank you for your pictures. You look fairly fit. Certainly losing body fat will change to contour your chest. In my opinion, I do believe you have a mild form of gynecomastia. This most likely represents a type 2 gynecomastia. The most appropriate step is to get an evaluation from several board certified plastic surgeons.

Best wishes!

Earl Stephenson Jr, MD, DDS, MBA
ESJ Aesthetics
#Truth, and transformation.

Thank you for your question regarding the difference between gynecomastia and chest fat. Based on the photos you provided, it does not appear that you have true gynecomastia, which is the enlargement of breast tissue in males. Instead, it looks like you have excess chest fat, which can be addressed through various methods.

To reduce chest fat, you have a few options:

Exercise and Healthy Eating: Incorporating a regular exercise routine that includes both cardiovascular and strength training exercises can help you reduce overall body fat, including chest fat. Pairing this with a balanced diet rich in whole foods, lean proteins, and healthy fats can further support your weight loss efforts.

Weight Loss Medications: New weight loss medications can also be an option to help you shed excess fat. These should be discussed with and prescribed by a healthcare professional to ensure they are safe and appropriate for you.

Liposuction: If you prefer a quicker solution, liposuction can be an effective method to remove stubborn fat from the chest area. This procedure involves a plastic surgeon removing fat deposits through small incisions, resulting in a more contoured and masculine chest appearance.

I recommend consulting with a board-certified plastic surgeon or a healthcare provider to discuss your options in more detail. They can provide you with a personalized assessment and guide you on the best course of action based on your specific needs and goals.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon

Thank you for this questions and for providing photographs.

True gynecomastia is when there is breast glandular tissue beneath your areola. Signs of this include sensitivity, fluctuations in size, and the feeling of a hard nodule. Fatty tissue tends to be softer.

I always share with my patients that I look at this surgery as male chest contouring and not gynecomastia excision vs chest fat removal. In order to achieve their desired contour liposuction is performed through the peri-areolar incision and any remaining gland tissue that is left after the liposuction is removed. By doing everything through one incision in the areola it leaves no sign of a procedure and easily facilitates both aspects of the surgery. If no gland is present after the liposuction the procedure is complete. This puts my patients at rest knowing that regardless of what is found surgically, their result will be the same which is their ultimate goal.

Based on the shape of your breasts it is very likely that you have a true gynecomastia; if breast enlargement was caused by increased fat volume, a condition known as pseudogynecomastia, breast deformity would look different. In both cases, treatment is surgical and involves liposuction and direct gland excision. Hope this helps.