Is this gynecomastia or pseudogynecomastia?

[Vitalytv]

Hello there,
Well I wanted to get this off my chest to see what step I should take next. Around 2 years ago I was 210 pounds and since then I have went to the gym and trained and I'm at a current weight of 165 pounds at 6'0.3 aged 19, I am currently bulking up. I seem to have stubborn fat in the love handles and around the thigh and butt region which I have inherited, but isn't too obvious. When I wear t-shirts my slightly saggy chest shows through which looks funky. I think I might still have some fat to lose. I was wondering if this would by gyno or just stubborn chest fat. I tried to see for a lump under the nipple, I think I may have found something but I'm not really sure if it's just fat. Should I try cutting some more weight first or continue to bulk up? or should I go see a doctor?
Any help would be great, many thanks.

[Litlriki]

It appears that you may have some mild gynecomastia, which is likely comprised of a combination of fat excess as well as glandular tissue.  The classification between gynecomastia and pseudo-gynecomastia may be of academic interest, but in practice, it's fairly irrelevant since most gynecomastia surgeons who treat the condition regularly will use a combination of liposuction and excision of gland, which will get a good outcome in the majority of patients (gynecomastia or pseudo-gynecomstia).

I would recommend that you be evaluated by a surgeon with good experience treating gynecomastia.  Your condition is mild, so you especially don't want a bad outcome from correction.

Good luck.

[DrPensler]

Appears you  have gynecomastia . I would call it mild to moderate and would benefit from correction.

[Dr. Schuster]

You probably have true gynecomastia which will require surgical correction. the more lean you get the more apparent the gynecomastia could look. It's always a good idea to see a surgeon who performs a lot of gynecomastia surgeon for an honest opinion and discuss your options. Good luck.

[Dr. Elliot Jacobs]

Agree with the other surgeons -- you do appear to have mild to moderate gynecomastia.

Recommend you read my discussion about "pseudo-gynecomastia" https://ww w.gynecomastia.org/smf/index.php?topic=27922.0on this forum.  

Dr Jacobs