Do I have gynecomastia or do I just need to lose some weight? (Photo)

You do appear to have a slight bit of glandular tissue. Gynecosmastia surgery can be done with an incision made around the areola to remove the excess tissue and tighten the skin. Losing weight will not result in loss of the tissue. If you would like to be seen by my office, feel free to reach out for a consultation. Smith plastic Surgery 702-838-2455

"It's challenging to make a definitive assessment based on the picture. However, given your description of “puffy” nipples, it does suggest the possibility of gynecomastia. The one-stitch gynecomastia technique can effectively sculpt the chest and address the ""puffy"" nipple issue. It's important to note that while losing weight can improve the overall contour of the chest, it typically doesn't change or significantly improve gynecomastia. Surgical intervention is the most definitive solution. Always consult with a board-certified plastic surgeon for a thorough evaluation.








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Thanks for submitting your questions and photo! Just based on the photo, you may has a small amount of excess tissue beneath your nipple/areola, which can cause the nipple to appear “puffy.” A board certified plastic surgeon will be able to determine whether you have gynecomastia which may require a reduction surgery to get you the look you desire. The surgery should be done when you are reasonably close to your “goal” weight in order for the surgeon to be able to plan and perform the right amount of liposuction and excision needed. Your plastic surgeon can review this in more detail. Thanks again for reaching out and good luck!

Puffy nipples and breasts in a male are usually associated with some underlying extra tissue. This extra fullness is typically a mixture of fibrous fatty glandular and it is called gynecomastia. Although weight loss helps to minimize the size, it usually does not resolve the issue. The treatment is surgical and can be very satisfying. Feel free to schedule a consult.

Hello !

Determining whether you have gynecomastia or simply excess fat in the chest area can be challenging without a physical examination by a medical professional. Gynecomastia is a condition where there is an overgrowth of glandular tissue in the breast area, resulting in a more feminine appearance. It can be caused by hormonal imbalances, medications, or other underlying medical conditions.

If you are uncertain about the cause of your chest appearance, it is best to consult with a plastic surgeon or a qualified medical professional who can evaluate your condition and recommend the most appropriate treatment.

In terms of timing, it is generally recommended to have gynecomastia surgery when you are at or near your ideal weight. This is because the procedure can be more effective when there is less excess fat present in the chest area. Additionally, losing weight after gynecomastia surgery can cause the skin to become loose and saggy, which may require additional surgery to correct.

However, if you are considering liposuction in addition to gynecomastia surgery to remove excess fat, it may be beneficial to lose some weight before the procedure to achieve the best results. It is important to discuss your goals and expectations with your surgeon to determine the best timing and approach for your individual case.


I hope this helps,
best of luck !

After a complete exam for gynecomastia I typically recommend a combination of excision of the breast tissue and liposuction of the chest. This approach will remove the breast tissue that is under the areola and the liposuction will smooth out the chest contour after the breast tissue is removed. On very thin males, maybe just the breast tissue excision is adequate.

Hi! thanks for your question.All men have some amount of breast glands but when they become prominently visible for various reasons, people seek correction options. If you want to get rid of that piffiness, you can have a examination of your chest (either in-person or better pictures from front, both sides) to help you decide better. To answer last part of your question, it is highly recommended to lose fat before going for surgery (if you plan to) as it helps in getting better results and even can make you eligible for the most sought total scarless trans nipple surgery where liposuction + gland removal- both are performed through single trans nipple incision. I hope this helps. All the best.

Gynecomastia is enlargement of the breast tissue in a male. Based on your photo and your description it appears you have some gynecomastia. It is treatable with surgery. The reason to do surgery is because you don't like the appearance, otherwise it is safe to leave it there. Surgery is best carried out when a person is at a healthy weight, there is no need to adjust your weight for surgery.

Then I come last year is a condition that is on the spectrum. It’s hard to say what determines the diagnosis.
I suppose, if a man’s chest has a feminine appearance, then that would be a definition of gynecomastia. All people have breast tissue, men and women. In some men breast issue is overly sensitive to normal hormone levels, and develops slightly more than others.
Fullness of the nail chest is generally related to three potential tissue variables. They are glandular breast, tissue, excess subcutaneous fat, and skin laxity. Skin like to be is often a contributing variable in individuals who had significant weight loss. This can be as little as 20 or 30 pounds but usually more often seen it in those who’ve lost 40 or more pounds. Older men typically also have skin laxity issues related to loss of skin elasticity.
Best way to assess and differentiate. The various tissues is to put the skin and pectoralis muscle under tension which shows subcutaneous fat and glandular tissue very clearly. Do this by taking one arm at a time and placing it your forearm behind your neck like you’re scratching your upper back. With the skin and pectoralis muscle under tension by placing one forearm behind your head, you can look in the mirror or have someone take pictures and see the contour of the glandular tissue very clearly. There are no quality treatments other than surgery, so the question is really does the amount of fullness in your chest bother you enough to have surgery?
That said, gynecomastia surgery can be a little tricky. Often it’s best done with a combination of Liposuction and open glandular excision. The hardest cases to treat are those who have skin laxity components.
And if the messaging surgery is a fairly complex procedure, that should generally be done by those who have substantial experience with a proven track record.
If you’re interested in having reduction of your chest, they suggest having multiple in person consultations. They need consultation. Ask each provider to open up their portfolio and show you their entire collection of before and after pictures of the previous men who had the same procedure with a similar chest characteristics.
An experienced surgeon should have no difficulty showing you at least 50 sets of before, and after pictures of commonly performed procedures. Gynecomastia surgery is not as common as some other procedures, but it is certainly not an uncommon procedure.
Results vary greatly, depending on who you choose is your provider so choose carefully, and I suggest doing that I having so many consultations as possible.
Best,
Mats Hagstrom, MD

Thank you so much for the question !
You seem to have a glandular form of gynecomastia also called as grade 1 gynecomastia.The best treatment is to do a surgery and it doesn't matter if you loose more weight because the gland will not go away,so you can do the surgery anytime to get a normal nonpuffy looking nipple.