Fat distribution - bigger worry than gyne

[iwannabefree]

Hi guys. I have huge breasts, but lately the condition had slightly improved a bit after i lost some weight.

However, now i'm gaining the weight back and I'm not sure if its all in my head (or that its the summer season). but unlike most men, a disproportionate amount of fat is being deposited in my hips and chest. I have massive love handles, but not a prominent gut like most dudes.

This is a very little discussed topic. For many men, fat distribution is just as much of a concern as gynecomastia. Doctors, fellow sufferers, pls give your thoughts.

[Raider Fan]

If I was morbidly obese, I'd consider having the surgical procedure that significantly reduces the size of the stomach.  That's really the only way for people who have significant weight issues to do anything about their weight.  Going on diets all your life never works, or maybe I should say works for about 1 out of 100 people.  Nobody can diet their entire life. 

If you're morbidly obese, I'd consider the stomach surgery.  You WILL lose weight with that procedure, guaranteed.  And it's for a lifetime. 

[Dr. Elliot Jacobs]

You are correct.  Losing weight first is the very best choice.  If you are morbidly obese (ie BMI over 40), then consider a radical dieting plan or perhaps a gastric bypass procedure -- which is now safer than ever.

Once you have lost the weight and stabilized at your new weight for about a year, you will be a candidate for trimming your "birthday suit."  This may include abdominal surgery to tighten the loose and overhanging skin as well as gyne surgery -- which may be more involved than the routine case where the skin is now lax.

Fat distribution will vary with every individual.  It is best to lose the weight overall -- and then consult a surgeon about reducing any remaining stubborn bulges of fat as well as tightening any loose skin.

Dr Jacobs

[iwannabefree]

OMG, everyone here just wants to push one agenda and thats it --- surgery. No one wants to talk about the medical reasons behind some of these symptoms.

I am NOT morbidly obese, but am gaining weight in the areas where females generally tend to. Any particular reason why?

[Raider Fan]

With your usage of such terms as "huge" breasts and "massive" love handles, as well as your statement of again gaining weight in your hips and chest, it suggested that you have significant weight issues.  If that's not the case, sorry for the misunderstanding.  

I don't know about the causes of individual fat and weight distribution, but I don't know that it's really important to know.  What we do know is that weight loss can make the condition of gynecomastia look better, but even body builders have residual "man boobs," and they are in the best condition you could possibly be in.  So the only option is surgery.  If one has "pseudo-gynecomastia," where there is only fat in the chest and no actual tissue growth, then yes, losing weight alone may be all that's necessary.

[Paa_Paw]

Even if we leave out your use of the terms huge and massive, You started a thread on the subject of fat distribution.

If your concern was that the pattern of fat distribution is more typically female than male we have a different issue altogether and you should be seeking the advice of an Endocrinologist who has a special interest in male reproductive issues. This is an area where very specific expertise is required. An Endocrinologist who has a primary interest in liver disease, diabetes, or whatever will be of little help.