Poor college student

[moobiesfighter]

Im a poor college student,
I can't afford getting a surgery,
So is it possible to work out, do aerobics, jog, lift weights, eat right, and take testosterone pills and make the gyne go away or look less fatty and have less nipple..

I have a minor case with nipples that look like milk duds,
Not so much fat under my nipples.

[The_G0rn]

If you only have pseudo-gyne then all those things might make it go away over time (except the testosterone pills, don't even think about that)

If you have real gynecomastia, i.e. enlarged breast glands, then none of those things you mentioned will fix it.  However, they will improve your overall appearance so you should do them anyway.

[moobiesfighter]

what is pseudo gyne and what is 'REAL GYNE"

[Paa_Paw]

As the terms are commonly used these days, Pseudo-Gynecomastia is fatty tissue only and True Gynecomastia is glandular tissue. I do not like the distinction for several reasons. The simple truth is that most commonly, there is some of both.

The reason why you should not take Testosterone (unless it is prescribed of course) is that if you already have enough; You really upset your hormone levels in a big way by taking more. The body reacts to a surplus of Testosterone by turning down (or off) your normal secretion of Testosterone and converting the surplus into Estrogen. This is why Gynecomastia is so common among athletes who use steroids.

[DrBermant]

what is pseudo gyne and what is 'REAL GYNE"

Gynecomastia as shown in this picture gallery comes in many different sizes, shapes, and forms.  Unfortunately, it can be difficult to distinguish just what is causing the problem.

Men tend to put fat on first their chest and belly regions.  We take it off there last.  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.

Defining the 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.

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.

Weight Loss Before Surgery is typically better than weight loss after surgery.  Losing weight is a coarse tool.  Plastic Surgery is best reserved as a refinement tool.  You cannot pick where the weight comes from, nor goes onto.  Men typically gain weight first on the stomach, love handles, and chest.  We typically take weight off the same areas last.  Major weight loss after surgery may not come from your chest.  If like most men, you do not lose as much from the chest, it may look as if your gynecomastia has recurred.  Some of my patients loose their weight after surgery and get away with it.  However, weight loss after surgery is a gamble.

Getting to a weight you are comfortable with is often best.  Taking weight off, having surgery, and then putting weight back on is a problem.  If as with most men, weight is put on the breasts, it can look like the gynecomastia has come back.

After major weight loss, there may be loose drooping tissues.

Hope this helps,

Michael Bermant, MD
Gynecomastia and Male Breast Reduction Surgery