For a lot of people with mild/moderate cases it is flat on the top and not on the bottom. Most people though are affected on the bottom half of the chest. Although the top can also have gyne and not be flat in some cases. I have really messed up glands and they make my sides of my chest really large which is usually from fat build up on the sides and the gland is also under my pec muscles. Depends on the person but, my top chest is flat when I raise my arms but, bottom is definetely not. Like I said it depends on the person, there are so many people with different cases of gyne and where there gyne is centered. Your body fat is pretty good and going lower probably wouldn't help much and too much lower wouldn't be too good for your health. You said you have a mix of gland and fat. The gland may be giving you the conical shape but, don't know I am not you or it could be a little extra fat. But, usually the gland pushing out the nipple making them protrude. I also have that problem from the gland and hope to get it removed to return it to a more masculine shape and I experiene pain from my gyne. So surgery would be a huge plus. Gyne definetely gets to your head. Sometimes it is the comments people have said about it or just the fact that it just doesn't look good or really normal. It sucks though and is definetely a burden. Basically to say most guys would rather have a beer gut than any case of gyne because the beer gut is an extra gut that you can lose that most people don't care about or just do light no harm jokes. But, the jokes and bs associated with gyne can be devistating. I can imagine you are in good shape and can understand why this tears you up inside. I am not gay or anything like that but, when I look at guys walking down the street with normal no problem chests I just wish that could be me or that everyone could have normal looking chests and wouldn't have to endure crap because of them. Just remembering back when I was 9 years old with a normal non-painful chest makes me want to cry because I took that for grantit back then and wish I had that same flat good feeling chest again today. I don't know why this happened or what I did to make it happen but, it sucks. And your mind can drift off when it is virturally consumed by gyne and it just controls what you wear and do. I would love to go shirtless again in the summer and go swimming and have a good time again but, don't want any crap because of my gyne. The last time I took my shirt off was when I got a lot of crap from my gyne and vowed to never take it off again till I got things straightened out. You can't let it control you you have to kill it or beat it anyway you can. Thank god this will soon be over for me in a few months. And hopefully it will soon to be over for you. It just sucks and it turns a person who once felt good and did any thing of free will to a person who constantly makes harsh decisions because of it. It is like beating an impossible mystery. Gyne is just impossible. I drift off thinking in another world all the time My cousins are skinny basstarrds who drink loads of beer and get many gfs get laid like everynight, don't live that great but, are happy because they live a simple life. They are normal and I die to be normal as well. I just can't believe they do all that crap to there bodies I am talking about the liquor and weed and never have had gyne ever and are still in great slim shape while I never did much for gyne to happen and always kept in shape but, could never have a body like them and was never looked at by many girls and didn't date much. It just sucks, everyone has some flaw but, gyne is like in the top 10 flaws. Just think a guy with boobs, doesn't sound good, doesn't look good, isn't good, no offense intended but, they just weren't meant for us and they were mean't to be on women. And as for the guys who say they get sexual stimulation and have women play with them I don't know? Thats something most men wouldn't consider. I haven't and you probably haven't gotten much enjoyment out of gyne. The only times it didn't consume me was when I was having fun and didn't think about it and felt good for a short while but, eventually there will be a time where you are thinking about it, the thoughts of having gyne never really go away and sometimes you wake up some mornings not wanting to go on. Gyne controlled me mentally and physically for too long and now I am doing something about it. All these people who say they don't want surgery or aren't doing anything about it should, because there will be always a time where the gyne is in control. You can't really stop it it is just the human way sometimes you will just have a problem. I just hope if I have a son someday that he will never have to go through this problem. And to top it off I didn't know what this was as others did for years. That as well can tear a person up inside. Good luck though on your gyne, and sorry for the long post but, I as well get caught up in typing long posts and it is just getting out whats on my mind.