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

Thank you for your question and for your photos. Based on your photos provided, you have a mild case of gynecomastia. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are. 

Thanks for your question.  I agree with my colleagues.  I think from your photos, it appears you may    have some degree of gynecomastia which is also causing some degree of puffiness behind the nipple with increased areolar diameter.  I think exercise is always a good think for fitness; however, in my opinion, this is unlikely to improve without surgery.  I think there is likely some glandular tissue behind the nipple which when removed and the chest is contoured and shaped, should give you a nice flattening of the chest and smaller areolas as well.  I would recommend visiting with one or several board-certified plastic surgeons that specialize in gynecomastia.  Good luck!

Thanks for the photos to review. I believe that you have moderate gynecomastia. It looks like you could lose a little weight and build up a little muscle as well but I do not think that this will solve the whole problem, and you shouldn't get frustrated. Frequently the leaner you get the worse the gynecomastia will look. This is because the breast gland does not respond to "weight loss". It is not fat and does not behave like fat. Surgery is really the only treatment that works and permanently solves the problem. I suggest doing your homework you choose a well-qualified gynecomastia surgeon because getting great results is more difficult than it seems.

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.