Do I have gynecomastia? Or is it just fat? (Photos)

You probably have a component of gynecomastia, and surgery would improve this. Recommend that you consult with a board certified plastic surgeon to determine the operation that is best for you.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Thank you for sharing your question and photographs.  It does appear that you have a component of gynecomastia leading to an enlarged chest and areolar appearance.  Though weight loss and exercising may improve chest contour it may worsen the prominence of the gynecomastia as the fat is no longer camouflaging the true breast tissue.  Removal of the breast tissue would require surgery, but in your case could likely be done with an in-office procedure.  Hope this helps.