Do I have gynecomastia? (Photo)

Question

I am 23, 6’3”, 230lbs and starting to worry about the difference in my chest. The left hand side is bigger than the right I have been to a GP twice and currently waiting on an appointment with the breast clinic but haven’t been told what it could be.

Daniel Barrett, MD · Answer

Dear 7elyk7,
it is hard to tell for sure without an examination. Based on your photos, it looks like you have gynecomastia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Hi, I hope your appointment went well. This is likely gynaecomastia with an element of congenital asymmetry (difference present from birth). You should ask your GP to rule out causes such as medications that you may be taking, or hormonal changes. Gynaecomastia is not a life-threatening or physically harmful condition but it can impact quality of life and psychological well-being. If you wish to address the problem then I would recommend consulting a surgeon with a specialist interest in the condition. Best of luck.

Christopher David Jones, MBBS, BSc, FRCS (Plast) · Answer

From the photos you have provided there appears to be a small increase in the breast volume without any skin excess. The photos suggest that the left breast is slightly larger than the right. It is important to visit your GP so that you can have a comprehensive breast examination to rule out any underlying pathology which may need to be addressed. The Gp can also do certain blood tests to confirm or rule out any known conditions which can lead to gynaecomastia e.g. hyperthyroidism, low testosterone, elevated estradiol etc. After your investigations are complete, it would be worth visiting a plastic surgeon for discussion about gynaecomastia surgery.

Albert Ko, MD · Answer

Thank you for your question and photos. Yes, from the photos it looks like you have gynecomastia. I recommend that you scheduled an appointment with your PCP for an exam and diagnosis. Best of luck.

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  From the photos you have posted it does look like you may have gynecomastia.  Gynecomastia consists of 3 components, skin, breast tissue and fat.  I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options.  Best of luck to you.

Do I have gynecomastia? (Photo)

Answers (5)