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I've enlarged breasts since puberty, do I have gynecomastia?

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I am a 34 year old male. I have had enlarged breasts since puberty; they feel like lumps underneath both nipples. This problem has been causing me distress because the bumps are visible when I have clothing on. I am seeing a surgeon next week since I suppose the only option is surgical excision of the glands. I am interested in knowing your opinion about possible options and the extent of the problem based on what the pictures show.

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