Is this gynecomastia: My nipples are puffy and point outwards. I am 5'7 and weigh 155 lbs. (Photos)

Question

The upper part of my chest does not have much fat but the bottom does i don’t know if its fat or if its Gynecomastia.

Larry S. Nichter, MD, MS, FACS · Answer

Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.

Robert M. Tornambe, MD · Answer

Alex.   It appears from your photographs that you have very well-developed pectoralis major muscles and it does not appear that you have true gynecomastia in those regions. Hard to say if there is a bit of hypertrophied breast tissue just below your nipples causing them to appear the way they do. If this is the case, it can easily be removed surgically. Come see me or another board-certified plastic surgeon in the area for a full of valuation to explore the best options for you. Good luck.

Scott W. Vann, MD, FACS · Answer

It is hard for me to tell in the photo. It looks like you mainly have well developed pec muscles. You also have slightly puffy nipples. I would have to examine you to know if you have tissue to be removed. See a plastic surgeon who does a lot of gynecomastia surgery. Good luck.

David Azouz, MD, FACS, FRCS(C) · Answer

Physical exam would be needed to assess the area as it is difficult to tell if there is any gynecomastia in the pictures.

Omar Fouda Neel, MD, FRCSC, FACS · Answer

As per your photos you do not seem to have any irregularities or signs of gynecomastia to be worried about. However, gynecomastia cannot be confirmed simply by looking at photos. If you are truly bothered with the way you look and feel I suggest you consult with a board certified plastic with whom you can schedule an in person examination. Best of Luck to you!

William B. Rosenblatt, MD · Answer

The photos are not impressive for gynecomastia -- if you dont like the way your chest looks go get a consultation in person to see if you do have anything that can be corrected. It looks like at worst a little lipo would help.

Robert L. Kraft, MD, FACS · Answer

The musculature is well developed. Gynecomastia cannot be evaluated with this presentation, without a physical exam.  Excess fat v breast tissue cannot be appreciated online.  Best wishes.

David E. Berman, MD (retired) · Answer

you appear to have a normal volume of male breast tissue. however, an in person examination will reveal if you have much volume in your breast area. If you do, it is not very much. see a board certified plastic surgeon, if this bothers you a lot. david berman md

Is this gynecomastia: My nipples are puffy and point outwards. I am 5'7 and weigh 155 lbs. (Photos)

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