I'd just like to know if I have pseudo gynecomastia or gynecomastia. (Photo)

Among the different types of #gynecomastia there are two in which you may be experiencing. Pseudo-Gynecomastia is composed of adipose tissue instead of glandular tissue. This type of gynecomastia can be treated with diet, liposuction or surgery. Severe Gynecomastia commonly affects those who have lost skin elasticity at an older age and those who have been obese or overweight at one point in their life and lost weight may have saggy skin and breasts that are severely enlarged. Surgery is the recommended treatment for severe gynecomastia. To better distinguish the category your condition may be within, it's necessary to consult in-person with a plastic surgeon.Also, 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. Weight, and more specifically body mass index (BMI), need to be considered when deciding. Consulting with a board-certified plastic surgeon is highly suggested in order to determine if you are a surgery candidate and what treatments are best for you.

I would have to examine you to give you the best recommendation. Look at
reviews and before and after pictures as well as credentials to select
your surgeon.Kenneth Hughes, MDLos Angeles, CA

It is hard to tell from a picture as they can look the same. If you have pseudogynecomastia (fat only), you can try losing weight to see if it makes a difference. See a Board Certified Plastic Surgeon that specializes in gynecomastia for an evaluation and to determine your options. Good luck!