Is this gynecomastia? They were slightly hard in the pictures they are usually bigger (Photo)


Doctor Answers 8

Is this gynecomastia? They were slightly hard in the pictures they are usually bigger

Thank you for the question and pictures. Accurate diagnosis would necessitate physical examination. It IS important to differentiate gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis.

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. You may find the attached link helpful to you as you learn more. Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Consult with a Board Certified Surgeon to Better Determine

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. 

There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal candidate. Weight, and more specifically body mass index (BMI), need to be considered when deciding.
Consulting with a board-certified plastic surgeon is highly suggested in order to determine if you are a surgery candidate and what treatments are best for you.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Is this gynecomastia? They were slightly hard in the pictures they are usually bigger

It is difficult to give and accurate diagnosis of gynecomastia through pictures. If you are unhappy with your appearance it would be best to consult with a board certified plastic surgeon. They will be able to inform you of the options that are available to you to assist you in reaching your desired appearance. Best of luck

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 469 reviews

Appears to be Gynecomastia

Dear howtok,

It looks to be gynecomastia by the picture. You can confirm this by gently squeezing the fat layer in your abdomen and comparing it to the tissue under that nipple areola. If it is gynecomastia, that will be enlarged glandular tissue and will be much firmer than your abdominal fat. Also, the fact that they change in size usually has to do with the ambient temperature. When it is cool, the muscles contract, and it looks less like “puffy nipples”. Experience of the surgeon is paramount with this procedure. We have developed a technique with no scar on the chest. It is not an emergency and can be done at your convenience.

I hope this has been helpful to you.

Robert D. Wilcox, MD

Robert D. Wilcox, MD
Dallas Plastic Surgeon
4.1 out of 5 stars 22 reviews

You have

You have gynecomastia.  Only treatment of gynecomastia is surgery.  There is no emergency about it.   See a plastic surgeon when you are ready to tackle your problem.  

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews

Gynecomastia texas TX

This is gynecomastia.
How should I choose a surgeon?
Selecting a surgeon is as important a choice as the decision to undergo surgery. Choose carefully only a board certified PLASTIC SURGEON. The decision is yours. What follows is some advice to assist in making your selection.
1. Experience matters. Choosing a surgeon who has performed over one thousand gynecomastia cases increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience.
2. Results matter. The more before-and-after pictures a surgeon displays, the better. Pay attention not just to the number of pictures, but whether the surgeon is confident enough to show multiple angles of the same patient.
3. Gynecomastia surgery Reviews matter. Have patients reviewed your surgeon? Did those patients undergo the surgery you are considering?
4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Are they certified by the American Board of Plastic Surgery? Have they authored books or medical journal articles regarding your surgery?
We hope these guidelines are of assistance when you are selecting your surgeon. When undergoing surgery, it is very important to be realistic about your expectations. Past results are not a guarantee of future results. Also, revision surgery tends to be significantly more difficult than initial surgery.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 76 reviews

Is this gynecomastia?

Based on the photos you provided, you appear to have some degree of gynecomastia, although it would take an actual physical examination to say for sure. I would also need to know some background and medical history which factors into the diagnosis. This is a common condition that most males are not keen to talk about. Fortunately the Internet is a source of information. We commonly see 3+ people a week in our practice with gynecomastia.

David Dellinger, DO, FACOS
Austin Plastic Surgeon
5.0 out of 5 stars 21 reviews


Looking at your pictures, it may be gynecomastia. For a firm diagnosis, I recommend consulting with a board certified plastic surgeon. 

Leo Lapuerta, MD
Houston Plastic Surgeon
4.2 out of 5 stars 47 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.