This is a common question from my gynecomastia patients. You would think that all these guys are overweight but this is often not the case. Gynecomastia and weight loss can actually make the chest fullness look WORSE! Why would this be? The answer is that most gynecomastia cases are some combination of fat and glandular tissue. If the amount of fat shrinks around the glandular tissue as you loose weight, the result is a prominence of the gland which can make it look worse. Think of the gland as rock—it will not change much with just about anything.
Pseudogynecomastia is different. This is a condition caused by obesity. Fat accumulates all over your body as well as your chest area. If you lose weight, you will lose fullness in the chest area as well. This is probably the only gynecomastia condition that you have control over—something that you have the ability to change.
That’s what makes having gynecomastia so frustrating for men who have it. There isn’t much you can do to treat it yourself. You need to see a highly qualified surgeon and have it surgically treated. The bad news is that you can’t do much about the condition that you hate. The good news is that it can be successfully treated and you will be better off for it.