My nipple area gets soft during heat and shrinks when in cold. Do I have Gynecomastia? (photo)

Surgery can likely improve the appearance of the chest.Kenneth Hughes, MDLos Angeles, CA.............

That is a tough question without an in person exam.  Gynecomastia feels like a nugget behind your areola.  Loose skin after your weight loss and a little bit of fat is also a possibility but hence the suggestion to be seen in person.  Congratulations!  I bet you feel great at your weight! 

Hi Cray,Nice job on the weight loss!  A lot of gynecomastia is simply related to extra weight.  Some of what you describe it normal. And, it is hard to say without examining you.  So feel if you have a central small area that is very firm, the size of a robin's egg, under each nipple area.  This could be gynecomastia.  Also, from you photos it appears to me you might benefit from the office procedure of CoolSculpting. Be sure to see only a board certified plastic
surgeon (by ABPS - The American Board of Plastic Surgery) who is a member of
ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of
ASPS (The American Society of Plastic Surgeons). All the best, "Dr. Joe"

You have actually asked two questions.  Do you have gynecomastia?  Yes you do -- a mild case.  You can disguise it by wearing a snug compression shirt or you can elect to have surgery to remove it.  There are no diets or exercises that will do the job -- and there are no pills/lotions, etc which would work..As for the changes in the areolas -- that is a normal physiological change -- and will not change with any surgery. There is a small muscle in the skin of the areola -- which tightens and relaxes with changes in temperature, stimulation or emotional excitement.Why not visit my website which is exclusively devoted to treatment of gynecomastia for further information?Elliot W. Jacobs, MD, FACS New York City

Man who were overweight may develop gynecomastia from the estrogen that is produce by the fatty cells. The only way to remove it is excision of the glandular tissue.Anything  else won't cure your problem. Your problem is classical for gynecomastia condition.