How bad is my gynecomastia? How do it tell if I have it?Rate My Gynecomastia - is a frequent question.
Gynecomastia = female breasts on a male
Rating gynecomastia is like rating female breasts. What are common factors for women with an A cup size breast, D cup size breast, pubescent breast? They are all breasts. On a male, if it does not let the pectoral muscle shape show through, it just does not say male. This deformity can range from the subtle form (pubescent equivalent) Puffy Nipples in Men
to massive breasts with fold and dependent tissue. What really counts is how much the contour problem bothers the individual.
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 (Pseudogynecomastia)
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. All mammals have gland, that includes both men and woman. 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 pictures sometimes can help. However, it is impossible to tell from pictures 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.
Men with excessive fat do tend to have certain contour issues. Check out this link about Sumo Wrestlers.
Men tend to carry excessive weight in their chest and stomach.
Losing weight first, to something you are comfortable with and can maintain is typically a much better option. Weight loss is a coarse tool. Unfortunately, you cannot pick where weight comes from - nor can you pick where weight goes back on to. Gland that contributes to the breast shape is not helped with weight loss. Fingers of fat in the gland can become smaller, but the contour problem from gland does not go away. After losing weight
plastic surgery can help with localized fat, gland, and extra skin. After surgery remaining fat cells can put on more weight.
Hope this helps,
Michael Bermant, MDLearn More About Gynecomastia and Male Breast Reduction