Yes. Gender expression controls this to an extent.
Women have 4 areas they accumulate fat, thighs/### (gluteofemoral), breasts, triceps, and gut. Women with gut fat are far more likely to die early than any other sub group out there. Women that carry it all in their ###/glutes actually are shown to have an actual decent lifespan even with a pretty high BMI.
Men by contrast carry upwards of 80%, and sometimes nearly 100% of their extra fat in their belly.
If you have full on gyno as a man, meaning you now express fat like a woman this is really quite bad from a psychological way but you probably aren't going to die. Nobody has really been able to find a fat expression that equals early death in men like women.
Gyno in most men is due to adverse affects from pharma and or workplace occupational hazards. But man boobs are nearly always associated with higher levels of estrogen. The main way to fight man boobs is to do a lot of squats and deadlifts to get your body to think it's a man again. Also raise the amount of Medium chain fatty acid in your diet (Avacdo/fish/nuts).
Curious, do you have any ED or libido issues? (understand if don't want to answer)