I am a male 33 years old with BMI of 27%. Gynecomastia or not? (photos)

Question

I am a male 33 years old with bmi 27% .. From the photos can you help me with a primary diagnose if I have gynecomastia or normal chest fat ?! Please take into consideration that no other hormone disturbance symptoms are present (low sexual desire or bad erection ) and I don't feel any pain while squeezing the breast ...thank you

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. Unfortunately, gyncomastia cannot be determined with only a photo. A physical exam would be needed to determine the amount of adipose tissue vs glandular breast tissue in the area. I suggest you see a local plastic surgeon who is board certified by the American Board of Plastic Surgery for an evaluation.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

J. Timothy Katzen, MD, FACS · Answer

Hello, Thank you for your questions regarding gynecomastia and requesting a diagnosis for gynecomastia and possible surgical treatment. Based on your pictures and not a thorough physical examination, I think you have fat in your chest. I do not believe you have true male gland tissue or gynecomastia. The treatment for your fatty chest is highly successful with VASER hi-def liposuction. With VASER hi-def, stubborn fat from the breast is removed, and the underlying pec muscles are exposed. Before you make any decisions regarding VASER hi-def liposuction for the treatment of gynecomastia, I would suggest you seek consultation with an expert. Please seek an experienced, board-certified, plastic surgeon. Travel out of state if you must to find such a VASER hi-def liposuction expert. If you have any more questions regarding body lift or plastic surgery in general, please contact my office.Sincerely, Dr. Katzen. (Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery, and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery)

Robert M. Tornambe, MD · Answer

viper1985.  I appreciate your concern, however from your photographs, it appears that you have well developed chest muscles and possibly mild gynecomastia. This can be determined by physical examination and treatment with liposuction alone is probably all you would need. Consult with a board-certified plastic surgeon in your area for a full evaluation. Good luck.

Marco Carmona, MD · Answer

Hi. 
Thank you for your question and your helpful pictures. I would recommend a gynecomasty (removal of the mammary gland) in combination with liposuction. 
Please consult with a board certified plastic and reconstructive surgeon for your procedures. 
Best of luck
Dr Marco Carmona MD

Ron Hazani, MD, FACS · Answer

Thank you for your photos and question. You appear to have gynecomastia, but an in person exam is best for proper evaluation and treatment options. The combination of surgical excision to remove the glandular tissue and liposuction will help flatten the chest area.
Seek a board certified plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field

I am a male 33 years old with BMI of 27%. Gynecomastia or not? (photos)

Answers (5)