Gynecomastia or something else? Is surgery the only option? (photos)

Yes, you do have gynecomastia, and surgery is the only method of correction that works. The correction is permanent, and patients are uniformly elated with the procedure.In my opinion, I would go for it. Put the issue behind you once and for all.Thank you for your question and photos, and good luck.

Thank you for the question and pictures. Accurate diagnosis would necessitate physical examination. It IS important to differentiate  as uncomfortable as gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis. Having said that, based on your history and photographs, I think it is very likely that you do have gynecomastia. Most patients with gynecomastia benefit from direct excision of glandular tissue plus/minus peripheral liposuction surgery.
My best suggestion: seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. Best wishes.

Yes it appears you have gynecomastia. Surgery is the way to correct this. See a plastic surgeon who does this kind of work. Good luck.