A question about gynaecomastia

[amol0010]

i have never been happy the way my chest has been ever since I passed my puberty. My nipples seem to be puffy and look like tits when not hard, i.e. in a warm place, when they are not hard.

When they are hard, my chest looks perfectly normal like a regular male.

How do I make sure if I have gynaecomastia or not ?

 

[the_alcatraz]

Are you on the juice?

 

[drbermant]

i have never been happy the way my chest has been ever since I passed my puberty. My nipples seem to be puffy and look like tits when not hard, i.e. in a warm place, when they are not hard.

When they are hard, my chest looks perfectly normal like a regular male.

How do I make sure if I have gynaecomastia or not ?

I prefer to define gynecomastia (female like breasts on men) as an issue of contour and shape. (Gynaecomastia is the UK spelling).

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 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. 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 photographs sometimes can help. However, 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.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture