Do you think I have Gynecomastia or Pseudogynecomastia? (Photos)

Thank you for sharing your question and photographs.  Very difficult to ascertain without an in-person examination of your tissues but based on pictures alone, I would say you have pseudogynecomastia which can be treated with liposuction alone.  Hope this helps.

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.

Hi, thanks for your question. It's very difficult to tell from pictures alone, so I highly recommend that you book an in person consultation with a board certified plastic surgeon in order to give yourself some piece of mind. A gynecomastia diagnosis can really only be made after a physical examination. Good luck!