Advice on if I have Gynecomastia?

[iomega123]

Hi, I am certain I have Gyno, but I just wanted to get a 2nd opinion before my appointment with a doctor about it. My body fat is around 22%, so is the shape of my chest normal for this? I have compared myself to others who have more body and there chest is no where near my size. My nipples are also extremely puffy when warm to the point were the nipples can't be seen or even felt, it pretty much flush with the skin. Can you take a look and let me know?

[iomega123]

More Pictures. Also will having surgery get rid of the puffy soft nipples issue? My nipples are puffy all the time and only get hard when its cold. If I get surgery will they by hard constantly?
Thanks guys,

[joe7]

A good surgeon will be able to get rid of the puffiness and contour the surrounding areas to give an ideal shape. However, I would advise you lose some weight first before deciding on surgery. In some people, if the chest is mostly fat then the puffiness can actually flatten out quite nicely just by losing weight. Here's an example:
https://imgur.com/a/72sIZr4

From this thread:
https://www.reddit.com/r/ketogains/comments/95palh/6_months_apart_keto_lifestyle_was_game_changing/

It's worth trying to get to around 10% and see if it improves.