Is this gyno, is it severe, and should I be worried or can I just get lean again and not have this issue? (Photo)

Question

I was just wondering, I have been pretty lean before and have been doing lots of weight training, I have gotten to body fat that is like 6-7% here is a few photos. I do feel a hard lump under my nipple, but it is not sensitive I have been on several diets, some which have left me at low and I mean very low body fat percentages. I have had mri scans and other check ups saying that it is fat. I am 24 years old. everything else is soft tissue around the chest.

Richard H. Tholen, MD, FACS · Answer

Congratulations on your lean fit look! I hope you are not using anabolic steroids as part of your muscle building, as this is one cause of gynecomastia development. So is pot use, and some medications or testicular tumors can also cause glandular growth. Most is just idiopathic, and retained from puberty (but not visible until you got cut and bulked).If it is firm, it is gland, regardless of MRI scan interpretation. Careful plastic surgical excision, leaving a small disc of tissue to prevent unnatural adherence of the nipple/areolar skin to the underlying pec muscle, is essential. Otherwise, an even more disfiguring deformity is created. And, of course, you have such little subcutaneous fat right now that this would not be visible until you (re)gained some of you fat layer, and the "stuck-down" nipple then is a real problem.See ABPS-certified (also ASAPS member) plastic surgeons who do lots of gynecomastia surgery for advice. Best wishes! Dr. Tholen

Michael Law, MD · Answer

You clearly are fit and take good care of yourself. If your chest is not a problem when you are at your ideal weight, that is the best way to control your appearance. Most men with gynecomastia have unwanted fulness no matter what their weight. If it continues to be a problem, surgery is an option. Select your surgeon carefully.

Melinda Haws, MD, FACS · Answer

If it is there when you are at you lean weight, then it is gynecomastia. If it bothers you, it can be removed.  if it is a small lump under your areola,  then it may even be amenable to direct excision with local anesthetic.  If you are interested in having it removed, then have an in person consultation with a board certified plastic surgeon.  Best of luck!

Frederic H. Corbin, MD (license restricted) · Answer

If you feel a mass or lump under your areola it probably is gynecomastia and will not resolve with further diet and exercise as you are pretty lean nowDr Corbin

Is this gyno, is it severe, and should I be worried or can I just get lean again and not have this issue? (Photo)

Answers (4)

Answer: Gynecomastia

Answer: Gynecomastia

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Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Is this gyno, is it severe, and should I be worried or can I just get lean again and not have this issue? (Photo)

Answers (4)

Answer: Gynecomastia

Answer: Gynecomastia

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.