Do I have gynecomastia or lipomastia? (photos)

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.

The male breast is composed of glandular tissue and fatty tissue. An excess in either type of tissue can cause the chest to take on the look of gynecomastia. Gynecomastia can affect men of all different body types. According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Hello and thank you for your question. The only way tell for sure is with an in-person physical examination.  Based on your
photograph, you are a great candidate for removal of your chest fat and/or parenchymal tissue.   This can be performed with minimal scarring.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.  The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for sharing your question and photographs, and I am sorry that your chest has caused you to be self-conscious.  I do see its fullness and agree that surgical intervention would help to improve its contour.  Whether it is gynecomastia or pseudo gynecomastia depends on an in-person examination as this will guide treatment.  The former typically requires an incision to directly excise the glandular tissue while the former can often be remedied with liposuction alone.  Hope this helps.

I can tell you have enlarged breast tissue but no way to tell if fat or gland from a photo. Probably is both. I usually see mostly fat and small amount fibrous gland right under nipple. You need to see plastic surgeon who can examine you and discuss is they can remove all with liposuction or if gland tissue excised, how. Good luck.