Is this gynecomastia: My nipples are puffy and point outwards. I am 5'7 and weigh 155 lbs. (Photos)

The upper part of my chest does not have much fat but the bottom does i don’t know if its fat or if its Gynecomastia. 

Fatty gynecomastia also known as pseudo-gynecomastia

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Nipple pulls in when I flex, can this be fixed? 2 years post op (Photo)

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What causes puffy nipples in men?

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