How do i know if i have gynecomastia or just chest fat because i am obese?

Probably fat: Obesity is not isolated to cetain areas of the body therefore if you are obese there is probably a large component of your gynecomastia due to fat excess. You may have breast glandular tissue that requires surgical excision however liposuctio will treat most of the excess. The other problem you mat face is skin excess due to the excess weight. Excess skin must be excised.

Firm breast tissue: Breast tissue is fairly firm, but fat is obviously soft. Check out www.Gynecomastia.Org, a great forum!

Physical Examination: Physical examination can distinguish relatively firm breast tissue from softer adipose tissue. Best for you to achieve a long-term healthy stable weight; at that point, if you still have concerns about excess tissue on the chest wall, seek consultation with board-certified plastic surgeons, who after physical examination will be able to provide you with a diagnosis and treatment recommendations.

Lumpy?: Gynecomastia tends to be a firm, discrete lump, which is centered on the nipple. Fat tends to be soft and distributed more widely, especially in the lower pole of the breast. Obesity often obscures the physical findings for gynecomastia as the chest fills with fat. Lumps in the breast, for men and women, should be checked by a qualified physician to determine the pathology.