How can i tell if i have gynecomastia or just chest fat because i'm overweight?

Compare the feel : Of it to fat elsewhere if it's denser it might be glandular development. Ct or MRI would be definitive but usually unnecessary.

Lose weight!: Glandular gynecomastia does not "go away" with weight loss; plastic surgical excision is required (not liposuction). Fatty gynecomastia can be treated with liposuction, and ultrasonic lipo is a good option. Either way, losing weight will improve you and your chest!

By feel: True gynecomastia patients have firm, easily palpable or felt breast tissue. Fat is softer than breast tissue. Many young men have a mild case of gynecomastia, with only puffy nipples. Others have a more serious case. Most require surgery for correction, even mild puffy nipples. See my webinar on youtube - search dr. George pope. Or visit www.Gynecomastia.Org, a great forum.

Physical Examination: In-person consultation with your family practitioner and/or plastic surgeon is a good place to start. Accurate history and physical examination is important. Eliminating “causes” of gynecomastia is also important. Surgical treatment usually involves partial excision of the glandular tissue plus/minus liposuction surgery. Again, much of what is recommended will depend on specific physical exam.