Is this a form of gyno? (Photo)

Thanks for submitting your questions and photo. It’s a bit difficult to determine why you are experiencing this contour irregularity based on the photo. This could be due to an anatomical difference between your pectoralis muscles, or a slight difference in fat distribution from one side of your chest to another. I recommend you see a board certified plastic surgeon who can examine the areas of concern and come up with a treatment plan that will help you reach your desired look. Thanks again for reaching out and good luck!

Based on your history and the photo provided, your right pectoral area does appear more recessed compared to the left. However, this does not suggest gynecomastia, but rather a potential loss of muscle tissue.

To address this, I would recommend tissue augmentation via fat transfer. Fat can be harvested from areas such as the umbilicus, love handles, lower back, or inner thighs and then transferred to the indented area of your right pectoral.
In conclusion, it's unlikely that you have gynecomastia. Instead, it appears you've experienced some tissue loss in your right pectoralis major muscle, which could be corrected with fat transfer. I trust this addresses your concerns about a possible unbalanced chest due to gynecomastia.
Sincerely,
Dr. Katzen

Dear Jmc65, It's really hard to tell anything from the picture but gynecomastia does not typically present by creating concavity. A surgeon could inspect and feel the area to determine the best course of action to improve your situation.

Dear jmc65,it is hard to tell for sure without an examination. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi, thanks for your question and photo. As you may know, the human body is not symmetrical at all. You'll always have differences between one side and the other. It doesn't seem to be gynecomastia. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

There are three tissue variables that contributes to the contour of the male chest. These are skin laxity, subcutaneous, fat and excessive glandular breast tissue or (true gynecomastia.)
With age, we lose skin elasticities, and this creates skin laxity due to gravity. This is very common in men your age. loose skin creates contour. This the potential appearance extra fat or excess fullness.
To differentiate between the three variables, take one hand at a time and stretch your arm like you’re scratching your upper back. Put your hand behind your head, putting the pectoralis and muscle under full tension. Do this with one arm at a time while looking in the mirror or have someone else take a picture. With the pectoralis muscle and skin under tension, you can clearly see the soft tissue contour of both the fat and breast tissue layer. My best guess is you’ll notice that you don’t have any gynecomastia and the fat layer is exactly the same on both sides. You simply have developed a little more skin laxity on one side than the other. This is inevitable due to age, and there is no good justified treatment. The only treatment that works is direct skin excision, which leaves, invisible scars and I don’t think it’s justified in your case.
You should be proud of the shape you’re in and all the work you’ve put into physical fitness over the years.
You look far better than the great majority of men, half your age.
Age takes a hit on the skin on skin laxaty often looks like excess fat and can contribute to undesirable contour.
I do not recommend considering surgical intervention for this. If you do it, it needs to be directed towards skin laxity and generally skin surgery leaves visible scars. If you don’t mind having scars, then surgery could potentially be an option.
Liposuction or excision of breast tissue it is not going to give you quality results.
I am making certain assumptions and recognize that as quality assessment requires more than a single pictures viewed on an iPhone.
Best,
Mats Hagstrom, MD