This is my first time posting up here. I need some advice. I current weight is 265lbs and I’m about 5’11 tall. I lost 20 lbs in 2 mouths. I have fat around my chest and the underarm area. I wanted to know if it’s gyno or just fat. I don’t have any pain in my chest area. My nipples are not puffy, you would punch in me in the chest and I would feel nothing compared to what I comprehend on this site about other men having sensitive chests. I’m currently seeing a nutritionist, and we have agreed to bring me down to 160lbs within the next 12 months. I got this condition in my early teens, and it was wrecked my social life. I’m currently 23 years old and I wanted to know for sure that it’s gyno so that I can go ahead and have the surgical procedure and reclaim my life and self-esteem.
Helping others understand your problem with photographs sometimes can help.
However, it is impossible to tell from photographs 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.
Male Mammograms can define radio dense gland. However in my opinion, I prefer to view X-rays
during my examination to enhance my evaluation. It is rare for a radiologist to examine the patient in addition to viewing the film. I do not order mammograms for my typical gynecomastia patient. I reserve this tool for those with a clinical finding that concerns me.
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 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. 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. I prefer the original meaning of the word by Galen who first used the phrase: female like breasts. If the contour looks female, then you have gynecomastia wether it is fat and or gland. Female breasts come in many different forms from the small puffy nipple of a developing breast to a large hanging structure.
Weight loss before surgery is typically better than losing weight after.
I prefer to treat the contour, how it looks. If there is a concern about a female like contour, I try to sculpt a male like chest. Picking your surgeon is like picking an artist. Not all surgeons have the same skills.
Hope this helps,
Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture
Topic: Gyno or Pseudogynecomastia (Read 2553 times)
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