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Sometimes one can feel firm breast tissue directly under the nipple or in the surrounding chest area when the arm is stretched over the head. But this can be misleading – sometimes breast tissue can feel firm and fat feel soft – and other times the fat can feel firm and the breast tissue feel soft. Even a surgeon’s educated hands can be wrong. It is therefore a fool’s errand to try to self diagnose one’s gynecomastia by simply feeling the chest.

If one has excess tissue on the chest, that alone is sufficient alone to diagnose gynecomastia. Regardless of what is felt, the only definitive treatment for the excess tissue will be surgery.

Some guys feel that if their chest is soft, that it is all fat and then they can remove it by diet and exercise. Not true — for an explanation, please see below.