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Help identifying gynecomastia

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Help identifying gynecomastia
« on: October 27, 2012, 07:38:38 PM »
I am an eighteen year old college student with an embarrassingly flabby chest. I'm not certain if it's primarily adipose or glandular tissue.

I do have puffy nipples. However, when I press my nipples the right side feels soft, whereas the left side doesnt. Also my left side sags a little bit more because from the minimal exercise I do (pushups and such) I use my right side more dominantly. Could this indicate chest exercising/fat burning could remove my condition?

Can a doctor please advise me if they think this is primarily adipose or glandular so I could begin possibly think about talking to my parents about surgery? Or can my condition by made better by exercise? Which exercises should I do? I don't want to accentuate it more.

See this picture:

Thank you for your help.

Linkback: https://www.gynecomastia.org/smf/index.php?topic=26561.0

Re: Help identifying gynecomastia
« Reply #1 on: October 30, 2012, 07:14:50 AM »
It's hard to tell in a single view.  You may want to post some additional photos.
It looks like you're pretty slim; you probably have some glandular tissue causing the problem, especially given the fact that you say you have puffy nipples.  It certainly wouldn't hurt to exercise, although glandular tissue can sometimes look more prominent as the pec muscles grow in size.  Talk to your parents about an evaluation with a plastic surgeon.

Dr. Pope, MD
George H Pope, MD, FACS
Certified - American Board of Plastic Surgery
Orlando Plastic Surgery Center
Phone: 407-857-6261

Re: Help identifying gynecomastia
« Reply #2 on: October 30, 2012, 12:10:35 PM »
Agree with Dr. Pope.  First, you need to post more (and better exposed) photos.

However, your mention of puffy nipples is sufficient to indicate that there is at least some gland tissue present, which is necessary to produce a true puffy nipple.  Fat under a nipple does not necessarily produce a puffy nipple.

No problems with exercise -- it is always good for you.  But do not assume it will do anything for your gyne.

If you do decide on surgery, do your homework and find a gyne specialist.

Good luck!

Dr Jacobs
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
815 Park Avenue
New York, New York 10021
Telephone:  (212) 570-6080
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.com/revi


Offline Litlriki

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Re: Help identifying gynecomastia
« Reply #3 on: October 30, 2012, 02:53:32 PM »
I agree with Drs. Jacobs and Pope regarding photos and likelihood of the presence of gynecomastia, which is most likely glandular in nature.  I'm only adding a comment that, although the photo isn't the best quality, one gets the sense that there is something "more" on the left side, consistent with your description.  Asymmetry is common, and this can be corrected to a large degree with a well-executed procedure.

Rick Silverman
Dr. Silverman, M.D.
Cosmetic and Reconstructive Plastic Surgery
29 Crafts Street
Suite 370
Newton, MA 02458

Certified by the American Board of Plastic Surgery

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