I apologize for adding the same normal story but any reply or suggestions I receive may get me going in the direction I need.
I am 24, 5'10'' and currently weigh about 195 lbs. This is the heaviest I have been in my life, but I have starting lifting for the first time and began running. I fell better - stronger arms, in better shape - but I do not see any improvement in my chest. If anything, it feels slightly firmer closer to my arm and it is making me worried that it is getting firmer in my upper chest (which is good) but is making the fatty-chest stick out more.
I have been chubby my whole life and this fatty-chest issue has haunted me since elementry school. As I have read in other threads, I never take my shirt off in public and this problem has definitely stopped me from doing things I have wanted, hurt my confidence, and made me completely insecure. I double check before I leave for the day that what I am wearing covers it up slightly. I rarely wear t-shirts and when I do for sports, I do not always feel comfortable and sometimes the "nipple-rub" on the shirt gets irritated. The list of common things you do daily that are affected by this go on and on.
I have started to eat slightly better and will continue to excersise.
I guess my main question is - How do I know whether it is FAT or whether it is GYNE???
I have not seen many pics that are exact to mine to compare the notes. I have a handful of fat that is rather round - no drooping or abnormal nipples.
I will add pictures on Monday after I look through the site a little more.
Thanks
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 muscles can be a factor.
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.
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 Chest Sculpture