Do I have gynecomastia or does this look like excess fat from having puffy nipples? (Photo)

Thanks for the photos.  You probably have a mild case of gynecomastia.  Be sure to obtain an evaluation from a board certified plastic surgeon.  A small incision around the areola can safely remove the gland and give you a tight chest.

If you are unhappy with your breast size then you may want to consider corrective cosmetic surgery regardless of the cause, especially if you are not planning on loosing weight. Gynecomastia simply means that your breasts are too big and has features of a women's breast. There are varying degrees of gynecomastia ranging from puffy nipple to severe breast enlargement and/or breast sag. The severity of the gynecomastia will determine which treatment option is necessary. In most cases, men suffer from standard gynecomastia, which can be surgically treated as an in-office procedure under local anesthesia. For more severe cases, it may be recommended that you have your procedure under general anesthesia at an outpatient surgery center. Your consultation will determine which option is best suited for treating your gynecomastia.

Thank you for your question.I do not see any significant Gynecomastia. Do not worry too much about the skin that you feel when you pull on your nipple. I do not think weight loss will change this. You should make an appointment with an experienced Board Certified Plastic Surgeon who can further evaluate you and advise you.All The Best !

Thanks for this question.As always it's hard to tell from the photos. Having said that and taking your description into account, it looks like you have some gynecomastia. This can be managed realtively easily with surgery and the scars are very acceptable. 

looks like there is not much fat there and it is mostly extra breast tissue which typically needs to be cut out,important to see a surgeon in person for a better evaluation

Your photos demonstrate that you are in superb condition and the majority of your chest tissue appears to be solid muscle.  It is quite common to find a large button-like collection of breast tissue behind the nipple in males, and while I can't see that on your photos, physical exam by a board certified plastic surgeon can confirm it.  Also easy to remove if it bothers you, but your photos look pretty darn good.  Check out the link below to an article I wrote about gynecomastia, you may find it helpful.

You have worked very hard for your physique a minimal correction could give you the results you desire. It is very important to select an experienced plastic surgeon who will not leave you with distortion or scars.

You have a terrific athletic, muscular body and puffy nipples.  By definition, puffy nipples are due to an excess of solid breast tissue beneath the areolas -- not fat.  Do not try to diagnose by how hard or soft it feels -- that can be misleading.There are really only two options for puffy nipples -- live with it or have surgery to remove the excess tissue.  Even though it may appear like simple surgery -- it is not.  The margin for error is slim -- removing enough to do the job and not too much to create a crater-like depression.If you opt for surgery, then be sure to consult with a plastic surgeon who has a demonstrated interest and expertise in treating this condition.  If you go to my website below, you can see an entire collection of pre-post puffy nipple pictures in the photo gallery.Good luck!Elliot W. Jacobs, MD, FACSNew York City

The only way to confirm is with an exam.  It appears you may have gynecomastia.  See a Board Certified Plastic Surgeon to confirm.  Best wishes!

in most of the photos things look pretty normal. When you pull on the skin like that you look pretty much as I would expect to see it. Find yourself a good local board certified plastic surgeon who does this operation routinely and discuss it. I would either do nothing or consider a very conservative approach. Whichever way it goes good luck with it.