Author Topic: Rate my gyne  (Read 4031 times)


DrBermant

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how bad is it ?

Rate My Gynecomastia - is a frequent question.

Gynecomastia = female breasts on a male

Rating gynecomastia is like rating female breasts. What are common factors for women with an A cup size breast, D cup size breast, pubescent breast?  They are all breasts. On a male, if it does not let the pectoral muscle shape show through, it just does not say male. This deformity can range from the subtle form (pubescent equivalent) Puffy Nipples in Men to massive breasts with fold and dependent tissue.  What really counts is how much the contour problem bothers the individual.

Unfortunately, it can be difficult to distinguish just what is causing the problem.  Gynecomastia male breasts can be fat, gland, or most commonly a combination of both.  Sometimes skin and sagging tissues can be a factor.  Pseudo Gynecomastia (Pseudogynecomastia) is supposed to be fat only gynecomastia.  The problem with that "classification" is that in almost every case of gynecomastia I have seen there is some component of gland.  This gland can be very small, but it is present almost all the time.  All mammals have gland, that includes both men and woman.  So do you have Pseudo gynecomastia when there is a 1%, 10%, 50%, or 90% deformity from fat?  Reality just does not work that way.

Defining the problem with pictures sometimes can help.  However, it is impossible to tell from pictures if the deformity is from fat or gland. The dynamic images, of my standard set of images can show a region that compresses differently.  Even clinical examination differentiation can be difficult.

Fat tends to be soft, gland tends to be firm.  Fingers of gland often dissect between fingers of fat.  Look at this drawing and move your mouse over the arrows.  However, gland can be soft and fat firm confusing the picture.  Gland tends to be located under the nipple and pinching pressure can sometimes tether to the nipple pulling it in.

Men with excessive fat do tend to have certain contour issues.  Check out this link about Sumo Wrestlers.  Men tend to carry excessive weight in their chest and stomach.

Losing weight first, to something you are comfortable with and can maintain is typically a much better option.  Weight loss is a coarse tool.  Unfortunately, you cannot pick where weight comes from - nor can you pick where weight goes back on to.  Gland that contributes to the breast shape is not helped with weight loss.  Fingers of fat in the gland can become smaller, but the contour problem from gland does not go away.  After losing weight plastic surgery can help with localized fat, gland, and extra skin.  After surgery remaining fat cells can put on more weight.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Male Breast Reduction

Offline Dr. Elliot Jacobs

  • Elliot W. Jacobs, MD, FACS
  • Senior Moderator
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  • Posts: 4740
    • Gynecomastia Surgery
Do you have gyne or not?  Yes!  With puffy nipples as well.  No need to decide whether it is a 5 or a 10, it is there and more than likely, only surgery will be of help.

Dr Jacobs
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
4800 North Federal Highway
Boca Raton, Florida 33431
561  367 9101
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.c

Offline jsboob

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  • Posts: 214
how bad is it ?

Rate My Gynecomastia - is a frequent question.

Gynecomastia = female breasts on a male

Rating gynecomastia is like rating female breasts. What are common factors for women with an A cup size breast, D cup size breast, pubescent breast?  They are all breasts.
On a male, if it does not let the pectoral muscle shape show through, it just does not say male. This deformity can range from the subtle form (pubescent equivalent) Puffy Nipples in Men to massive breasts with fold and dependent tissue.  What really counts is how much the contour problem bothers the individual.

Unfortunately, it can be difficult to distinguish just what is causing the problem.  Gynecomastia male breasts can be fat, gland, or most commonly a combination of both.  Sometimes skin and sagging tissues can be a factor.  Pseudo Gynecomastia (Pseudogynecomastia) is supposed to be fat only gynecomastia.  The problem with that "classification" is that in almost every case of gynecomastia I have seen there is some component of gland.  This gland can be very small, but it is present almost all the time.  All mammals have gland, that includes both men and woman.  So do you have Pseudo gynecomastia when there is a 1%, 10%, 50%, or 90% deformity from fat?  Reality just does not work that way.

Defining the problem with pictures sometimes can help.  However, it is impossible to tell from pictures if the deformity is from fat or gland. The dynamic images, of my standard set of images can show a region that compresses differently.  Even clinical examination differentiation can be difficult.

Fat tends to be soft, gland tends to be firm.  Fingers of gland often dissect between fingers of fat.  Look at this drawing and move your mouse over the arrows.  However, gland can be soft and fat firm confusing the picture.  Gland tends to be located under the nipple and pinching pressure can sometimes tether to the nipple pulling it in.

Men with excessive fat do tend to have certain contour issues.  Check out this link about Sumo Wrestlers.  Men tend to carry excessive weight in their chest and stomach.

Losing weight first, to something you are comfortable with and can maintain is typically a much better option.  Weight loss is a coarse tool.  Unfortunately, you cannot pick where weight comes from - nor can you pick where weight goes back on to.  Gland that contributes to the breast shape is not helped with weight loss.  Fingers of fat in the gland can become smaller, but the contour problem from gland does not go away.  After losing weight plastic surgery can help with localized fat, gland, and extra skin.  After surgery remaining fat cells can put on more weight.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Male Breast Reduction

Yes, excellent answers from the docs, I do hope the "marks out of ten" people here read this! ::)

Ive been shouted down several times on this site for saying exactly this!

Offline KWS86

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  • Posts: 54
Yup, your case is similar to what mine was. It's slight from certain angles and more noticable from others.

This comes down to how you feel. If it bothers you, get 'em chopped! If not then enjoy them.

My decision to get rid of mine was the best money I ever spent. It changed my whole outlook on body image and healthy lifestyles as well.


 

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