New to forum. My pics

[Dukaim]

Hello there, I just found out about this website so I decided to join and post my pictures. I would like to know how bad do you guys think my case is. I haven't gone to the doctor, I used to be more fat when I was younger, now I'm 18.

[DrBermant]

Hello there, I just found out about this website so I decided to join and post my pictures. I would like to know how bad do you guys think my case is. I haven't gone to the doctor, I used to be more fat when I was younger, now I'm 18.

Congratulations on the weight loss!

A BMI Calculator (Body Mass Index) can help to a certain degree, but Body Mass Index does not take into account muscle mass vs. fat.  Body Fat Analyzers can help define that issue.

Rate My Gynecomastia - is a frequent question.

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

[Dr. Elliot Jacobs]

To answer your question simply and directly:  you are still a bit overweight and you have excessive tissue on your chest.

What to do?  Try losing weight first and see what happens to your chest.  My guess is that more than likely, it will reduce slightly but still be excessive. 

If you have had this condition for over two years, then would suggest you consult a plastic surgeon for an opinion.  This is elective surgery -- find a surgeon with lots of experience in gyne surgery -- it is very important.

Dr Jacobs

[headheldhigh01]

you definitely have it.  it's a moderate case, and even mild ones can drive you nuts.  a little extra weight loss would be good prep for an op but will not reduce it, and may make it temporarily a little more visible till you get rid of it.  congrats on finding the site.