Is this gynecomastia or not? (Photo)

Thank you for your question. From the pictures you have provided it does look like you have some fullness on the breast area. With that being said I would suggest speaking with a Board Certified Plastic Surgeon in person to evaluate you and discuss whether liposuction of the chest is enough or if they feel you have breast tissue. If you have some breast tissue they will make a small incision to help remove it and also potentially some liposuction. Best of luck to you.

Skype or in-office consult would be necessary for evaluation of the extent of your gynecomastia. Though the conventional teaching has been that liposuction cannot remove breast tissue, I have found that I can remove the breast tissue with liposuction alone. This allows for small segmental reduction of the breast to produce the best contour possible and avoid over resection, cratering, and contour deformities. This also provides for much less scarring and potential poor scarring concerns.

It appears from the photo that you have enlarged breasts which by definition is gynecomastia. usually this is due to abnormally enlarged breast tissue (glandular gynecomastia) though could also be due to only fat (pseudogynecomastia). treatment is essentially the same, removal of the excess tissue. The difference is that your surgeon must always be prepared to excise true glandular tissue which will not come out with just liposuction.