Age 19 and don't know if it is chest fat or gynecomastia? (Photos)

It appears you do have gynecomastia. This can be corrected with a simple procedure where the incision is made around the areola and the glandular tissue and fat are removed along with the excess skin. If you would like to be seen for a consultation to go over in more detail, feel free to reach out to mg office. Smith Plastic Surgery 702-838-2455

Thank you for your question regarding whether you have chest fat or gynecomastia. Thank you for your history and your pictures. By definition, male gynecomastia is the presence of breast tissue. Gynecomastia or male breast tissue is usually firm and hard. This feels like a firm mass usually directlyusually directly underneath the nipple. The mass can be small or large. The mass feels like a walnut or a marble. The breast mass can be on one side or both sides. The causes of male breast tissue or gynecomastia are multiple including several common, medications, excessive alcohol, and marijuana. However, in most cases of gynecomastia, the cause is unknown. If your chest is soft (I am not hard like gynecomastia), then you probably just have chest fat. This is what I believe you have. Either way the treatment is plastic surgery. Most cases of chest fat or gynecomastia, it can be treated with the VASER Liposuction. VASER Liposuction uses ultrasonic energy to melt fat. During VASER liposuction, VASER energy is applied to melt the fat and/or breast tissue. Usually, the VASER removes a problem area. If the VASER cannot remove or melt the breast tissue, a small incision is placed around the areola and the solid gynecomastia breast issue is removed. I hope this helps to answer your question whether you have chest fat or male breast gynecomastia. If you have any more questions regarding male breast gynecomastia, please contact my office.

Sincerely,

J. Timothy Katzen, MD, FACS, FICS
Board Certified Plastic Surgeon

Thank-you for your question. Based on your history and photos, you do have Gynecomastia. It usually starts at puberty and sometimes does not go away. Being overweight may contribute to the size. Fat is usually soft and glands are firm in feel. It would be best if you can find a Board Certified Plastic surgeon near you, who can examine you and help you with all your concerns . All the best!

Based on the shape and size of your breasts, it appears that you have gynecomastia. Best surgical treatment involves liposuction and direct excision of the glandular tissue. In person consultation with a board certified plastic surgeon is recommended. Good luck.

Being able to decipher whether there is gynecomastia or hard glandular tissue beneath the small amount of fat you have on your chest would require an in-person exam. If you feel hard tissue when you pinch deep into the breast tissue might be a clue too. I would recommend continuing to work towards your goal weight and seeing what's left when you are at goal. If the fullness you see is still displeasing to you, seek the opinion of a board-certified plastic surgeon. I use a combination of excision and Vaser liposuction in the whole chest. The Vaser machine melts that fat first and helps delineate the glandular tissue from the fat so it can be removed appropriately. The Vaser liposuction is great for the extra fat even if you don't need glandular tissue removed.

Dear Cute316958,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Puffy nipples and a heavy chest are signs of gynecomastia. You can feel for hardness under the nipples and compare it with tummy fat. If it’s harder, then it’s gynecomastia.

I can see that you have a fair amount of body fat around the trunk and chest. The pictures are not clear but there is a possibility of gynaecomastia in your case if the glandular component is not reducing even after working out.

Hello, thanks for your question. There is no such test that can tell you whether you have gynecomastia or not. All men have breast glands, some have few and others have more. Whether diagnosed or not, it ultimately depends on what you think about it. Its a matter of personal perception. Gynecomastia is not a disease, it is simply a cosmetic issue in most cases and correction of this is an elective surgery. And upon looking at your pictures, I can confirm that you have gynecomastia but again, if the shape of your chest is acceptable to you, then it's ok, or otherwise you can get a direct consultation with a Board Certified Plastic Surgeon. Best Wishes

Good Morning Cute316958,I hope this message finds you well. First off congrats on your fitness journey and more power to you moving forward. You are correct in analysing your condition as Gynaecomastia. Gynaecomastia is an overgrowth of your gland in the chest area along with surrounding supplemental fat deposits. Dealing with the problem means dealing with both fat and the gland in the chest area. Ideally we recommend undergoing a surgical intervention when you have stabilised your weight loss cycle for a period of 3-6 months so as to not miss any potential stubborn fat that may resurface after the procedure as you continue to lose weight through your fitness regimen.Although an image is a great starting point , I would recommend a video consultation / in person consultation with a board certified Aesthetic Plastic surgeon to take this forward and thoroughly answer your query. Dr. Pranav Reddy Jambula