What Is Steroid Induced Gynecomastia?

What Is Steroid Induced Gynecomastia?

Man Weight Lifting Dumbbells

Steroid induced gynecomastia can be caused by drugs such as Anadrol and Dianabol (used for medical conditions) and anabolic steroids taken by bodybuilders. Men taking steroids for medical reasons should consult their prescribing physician if they notice any changes in nipple size and tenderness or swelling in the chest area. 

There are various ways to resolve man boobs caused by steroid induced gynecomastia. Here are the options available if you are concerned about steroid use and gynecomastia.

What Is Gynecomastia?

Gynecomastia is the medical term for the growth of breast glandular tissue in men’s chest area. Breast enlargement in men is often unknown, although steroid use is a known cause of bodybuilder gynecomastia. Gynecomastia symptoms can present as puffy nipples and a slight increase in chest size, through to full, feminine-looking breasts or man boobs. 

Do Steroids Cause Man Boobs?

The leading cause of gynecomastia is hormonal imbalance. Steroid use disrupts hormonal balance and may cause higher estrogen levels, which can lead to gynecomastia symptoms. Longer-term steroid use may worsen the symptoms, which is why many bodybuilders develop man boobs. 

When steroid use is stopped, gynecomastia will not simply go away. The breast glandular tissue growth is permanent. The only recognized way to resolve bodybuilder gynecomastia is with surgery.   

Can I Prevent Gynecomastia?

The only way to prevent steroid induced gynecomastia is to not use steroids. If you require steroids for medical conditions, speak to your physician about your concerns. 

Do Antiestrogens Prevent Man Boobs?

Bodybuilders often use antiestrogens to prevent man boobs, including Tamoxifen (Nolvadex® or Soltamox®) and Arimidex®. These drugs are not FDA-approved gynecomastia medications and although they do work for some men, when they don’t work, it’s too late to do anything as the  breast glandular tissue will have already started to grow. Bodybuilders who take steroids should also consider that antiestrogens have a range of side effects, including weight gain and erectile dysfunction, and some more severe side effects such as reduced bone density, leading to bone fractures and stroke.

Can Supplements Prevent Man Boobs?

Numerous companies advertise supplements as estrogen blockers. However, not only are they extremely unlikely to make any difference, supplements have been found to contain dangerous ingredients. Supplements are not regulated by the FDA and are usually produced in countries with little or no regulations.

Gynecomastia Surgery For Steroid Induced Gynecomastia

Gynecomastia surgery is a fast and safe way to eliminate man boobs caused by steroid use. Gynecomastia symptoms are divided into four grades that determine how severe the symptoms are. Grade 1 and some grade 2 gynecomastia can be treated with surgery requiring only a small incision at the edge of the periareolar, called the pull-through technique.

Grade 2 gynecomastia that can not be effectively treated with the “pull through” technique can be treated with standard gynecomastia surgery. This only requires a slightly larger incision at the edge of the areola. Both types of surgery leave small scars that are well hidden by the change in skin color from the areola to the surrounding skin. Once healed (within a few months), the scar will start to fade. After around six months, the scar will be difficult to detect.

Grade 3  gynecomastia can sometimes be resolved with a two-stage procedure which involves the pull-through technique, followed by standard gynecomastia surgery four to six months later. This is the preferred gynecomastia surgery option for men who are concerned about scars and all incisions are made at the outer edge of the periareolar. This means that once healed the scars will be well hidden and hard to see.

In the case of more severe grade 3 and 4 gynecomastia symptoms, a double incision mastectomy is usually recommended. This will create larger scars across the chest. Most men prefer scars that fade and become less evident over time than living with man boobs. The patient satisfaction rate is high for all types of gynecomastia surgery, and unlike medications, results are reliable and always permanent (as long as steroid use is avoided).

Why Choose a Board-Certified Plastic Surgeon for Gynecomastia Surgery?

Gynecomastia surgery can be performed by any physician with a medical license. Gynecomastia surgery cost may be a consideration. However, many plastic surgery companies offer reduced rates by employing surgeons without appropriate training or experience. Unfortunately, the revision rate for gynecomastia surgery is high, and poor results may not be reversible.

Not all board-certified plastic surgeons specialize in gynecomastia, and many will only perform a few gynecomastia procedures each year. Board-certified plastic surgeon and gynecomastia specialist Dr. Miguel Delgado has been providing gynecomastia surgery for all grades of gynecomastia for over 30 years. Over 40% of his patients come to him unhappy with the results of gynecomastia surgery performed elsewhere. Whether you are considering initial gynecomastia surgery or gynecomastia revision surgery following unsatisfactory results, Dr. Miguel Delgado always discusses your concerns and explains the surgical options available. All gynecomastia surgery is performed at the Gynecomastia Center of Excellence — Marin Cosmetic Surgical Center*, with the highest level of patient safety and care.

*Federal and state-accredited surgical facility.

 

For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form

 

Miguel Delgado, M.D, F.A.C.S is a world-renowned Board-Certified Plastic Surgeon granted by the American Board of Plastic and Reconstructive Surgery and a member of the American Society of Plastic Surgery and Aesthetic Society. Dr. Delgado has a surgical practice solely dedicated to cosmetic plastic surgery. He specializes in gynecomastia surgery and is the medical director of Gynecomastia.org, the oldest and largest gynecomastia forum dedicated to supporting, educating, and providing solutions for men with breast enlargement. Dr. Delgado celebrates 30 years of practice in San Francisco, California. He was voted the “Best Plastic Surgeon of 2017-2021.” 

 

Does Steroid Use Cause Man Boobs?

Does Steroid Use Cause Man Boobs?

Man Using Steroids

Often referred to as man boobs, this medical condition is called gynecomastia by the medical community, and is usually caused by a hormonal imbalance. Research has shown that a high level of estrogen found in men is usually the cause of gynecomastia symptoms. Hormonal imbalance can happen for various reasons, including anabolic steroid use. The high associated risk that steroids cause gynecomastia is a huge concern in the bodybuilder community.

What Is Gynecomastia?

The medical term for man boobs is gynecomastia, which causes excess growth of breast glandular tissue in the male chest. Gynecomastia symptoms are often a combination of glandular tissue and fatty tissue. Another condition, pseudogynecomastia, is the growth of only fatty tissue in the chest area in overweight and older men. This is not true gynecomastia and is rarely experienced by men who are not overweight.

Women and men produce estrogen and testosterone. In women, the estrogen levels are higher than the testosterone levels, and in men, the testosterone levels are higher than the estrogen levels. This is why estrogen is often referred to as the female hormone and testosterone as the male hormone. 

Causes of Gynecomastia 

There are various known causes of gynecomastia symptoms, and it is crucial to have an accurate diagnosis. Dr. Miguel Delgado can diagnose gynecomastia with a physical examination and the gynecomastia pinch test. When there is no known cause of gynecomastia symptoms, blood tests may be requested, to check for any other underlying medical problems.  

The Male Menopause or Andropause

Men between 50 and 60 years old will typically experience the male menopause or andropause. When this occurs, testosterone levels naturally start to decrease, which may cause glandular tissue growth. During the menopause, the body ratio of muscle to fat will normally change. Both of these developments can cause gynecomastia symptoms and man boobs

Pubertal Gynecomastia

During puberty, estrogen levels are higher than testosterone levels, which often causes glandular tissue to grow and results in man boobs. This is likely to be more pronounced if an adolescent is overweight. Pubertal gynecomastia will usually resolve within two to three years, although occasionally, it will remain.  

Cancer 

Medical Conditions and Medications

Steroids and Gynecomastia 

Bodybuilders can rarely achieve significant size using exercise, diet and weightlifting, to produce the muscle mass needed to compete professionally. This has led to a high incidence of anabolic steroids use in the professional bodybuilder community. Steroids help men increase muscle mass faster and induce larger muscles when combined with weightlifting.   

Recognized by the world as one of the top professional bodybuilders, seven-time Mr. Olympia winner and four-time Mr. Universe winner Arnold Schwarzenegger admitted he used steroids when competing. Although at the time he was competing, steroids were legal, the lack of testing is still a controversial issue for many bodybuilders. The International Federation of Bodybuilding Professional League (IFBB) rules state that steroid use is not allowed, and all competitors are subject to IFBB random drug testing. Yet tests do not routinely take place. Even though steroids are now illegal in the US, it is generally accepted by the bodybuilding community that bodybuilders who want to compete in more challenging competitions, will take steroids

Anabolic steroids cause gynecomastia by disrupting the endocrine system that regulates hormones, increasing the enzyme responsible for converting testosterone into estrogen. In many men, this leads to the growth of breast glandular tissue and man boobs. One of the main issues caused by anabolic steroid use is gynecomastia. In the bodybuilding community, gynecomastia symptoms are often referred to as “bitch tits” and are a real problem for many men. Even when steroids are no longer used, gynecomastia will not go away.

Gynecomastia Symptoms

The most obvious gynecomastia symptoms are the appearance of man boobs or moobs, which vary in size. The difference is defined by gynecomastia grades, a system adopted by the American Society of Plastic Surgeons. 

Grades 1 To 4 Of Gynecomastia

There are five gynecomastia grades:

  • Grade 1 gynecomastia symptoms refer to a slight increase of glandular tissue and often cause the appearance of puffy nipples. 
  • Grade 2 gynecomastia symptoms cause a more significant growth of glandular tissue, resulting in small man boobs and a more feminine appearance of the male chest.
  • Grade 3 gynecomastia symptoms will produce feminine-looking breasts with a slight mammary (breast) crease.
  • Grade 4 gynecomastia symptoms are the most severe and result in extremely feminine-looking breasts that are full and noticeable, with a significant drop and mammary crease. 

Treatment for Gynecomastia 

Treatments for gynecomastia fall into three types: natural supplements, medications, and gynecomastia surgery. Numerous companies sell a range of supplements they claim will inhibit estrogen production, which prevents and reduces gynecomastia. There is no scientific research to back up these claims, and supplements are not regulated by the Food and Drug Administration (FDA). 

Treatment for Gynecomastia With Tamoxifen (Nolvadex® or Soltamox®) 

Tamoxifen (Nolvadex® or Soltamox®) is widely used by bodybuilders to prevent and reverse gynecomastia. Research shows that men only experience a partial reduction of gynecomastia with tamoxifen, and the associated severe side effects of tamoxifen include stroke, vision impairment, and liver disease. To date, the FDA has not approved any medications for gynecomastia treatment. 

Gynecomastia Surgery for Steroid Induced Gynecomastia 

Gynecomastia surgery is the only guaranteed way to eliminate man boobs from steroid use. It is highly advisable that bodybuilders wait until they have stopped using steroids before having gynecomastia surgery. Otherwise, the symptoms are likely to return. Grade 1 and some grade 2 gynecomastia symptoms will usually require standard gynecomastia surgery, with gland excision to remove the excess breast tissue. This requires a small incison on the edge of the areola of around 2.5 to 3 cm. Once healed the scar will normally be well hidden by the change in skin color between the areola and chest skin. Another type of gynecomastai surgery that is often referred to as scarless gynecomastia surgery is the pull-through technique.

The pull-through technique is normally only suitable for grade 1 gynecomastia and only requires a small incision of around 5 to 10 mm cm in length, made at the edge of the periareolar, which means the scar  will be almost invisible when it has healed.  

Dr. Miguel Delgado performing the pull-through gynecomastia surgery technique

Grade 3 and grade 4 gynecomastia symptoms will generally require a double incision mastectomy or a two stage procedure. This is due to excess skin that needs to be removed for tight, masculine chest contours, as well as glandular and fatty tissue. Patient satisfaction for gynecomastia surgery is high, with research showing that 98% of bodybuilders receiving gynecomastia surgery are pleased with the results

 

For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form. 

 

Miguel Delgado, M.D, F.A.C.S is a world-renowned Board-Certified Plastic Surgeon granted by the American Board of Plastic and Reconstructive Surgery and a member of the American Society of Plastic Surgery and Aesthetic Society. Dr. Delgado has a surgical practice solely dedicated to cosmetic plastic surgery. He specializes in gynecomastia surgery and is the medical director of Gynecomastia.org, the oldest and largest gynecomastia forum dedicated to supporting, educating, and providing solutions for men with breast enlargement. Dr. Delgado celebrates 30 years of practice in San Francisco, California. He was voted the “Best Plastic Surgeon of 2017-2021.” 

Gynecomastia.org does not provide medical advice, treatment, or diagnosis. 

 

You Don’t Have to Live with Man Boobs

You Don’t Have to Live with Man Boobs

Man Holding His Hair Back, Worried

Man-boobs are a very common condition, and worldwide gynecomastia symptoms affect approximately one in three men. This condition causes excess breast glandular tissue, which is often combined with fatty tissue, causing the appearance of female breasts. For many men, living with man boobs causes embarrassment and low confidence. This can lead to avoiding activities that involve going shirtless, such as swimming and trips to the beach, and missing out on spending time with family and friends. Men often feel too uncomfortable to visit the gym or exercise, which can result in weight gain and increase the size of man boobs.

Although the cause of gynecomastia is not always known, some of the more common causes include weight gain and obesity, anabolic steroid abuse, and male menopause. Whatever the cause, if enlarged male breasts are destroying your confidence, there is usually no need to continue living with man boobs.

Having plastic surgery may seem drastic or daunting, but with modern surgical options, getting rid of man boobs has never been safer. For the best possible outcome, the most important thing you can do is choose a plastic surgeon that specializes in gynecomastia surgery.

 

How to Check Your Surgeon Is a Plastic Surgeon

In the U.S., the only requirement to practice plastic surgery is a medical license from a state medical board. This can be obtained once a medical degree and postgraduate training are completed. However, this does not mean the physician has experience in any form of surgery.
There is a lot of confusion around board certification and how to check if a plastic surgeon is qualified. The first thing to be aware of is a Board Certified Surgeon is not always a Board Certified Plastic Surgeon. The American Board of Medical Specialties recognizes 14 individual surgical specialties. This is why you need to check that your surgeon is not only board-certified but is board-certified by the American Board of Plastic Surgery.

Another issue is understanding the difference between a cosmetic surgeon and a plastic surgeon. Many people wrongly assume that if a surgeon is certified by the American Board of Cosmetic Surgery (ABCS), they will have received the same training and passed the same exams as a plastic surgeon. This is not the case. To apply for board certification from the American Board of Plastic Surgery, a surgeon must have completed at least six years of training and passed an accredited residential training program, with three years committed entirely to plastic surgery procedures. They are also subject to continuous assessment and exams.

A surgeon certified by the American Board of Cosmetic Surgery only needs to complete one year of surgical training, and there are no continuous assessments once they are certified. In California, the Medical Board of California has prohibited ABCS diplomates from calling themselves “board-certified.”

 

Common Gynecomastia Surgery Questions

1. Is gynecomastia surgery permanent?

Gynecomastia surgery is the fastest and most effective solution to permanently get rid of gynecomastia. Usually, this is a one-time surgical procedure with a high patient satisfaction rate.

2. What happens during gynecomastia surgery?

Gynecomastia surgery involves the removal of glandular tissue and/or fatty tissue. Liposuction sculpts the chest area for a smooth and contoured masculine-looking chest.

3. Can gynecomastia surgery be performed under local anesthetic?

Gynecomastia surgery can be performed under a local anesthetic. However, Dr. Delgado prefers to use a light general anesthetic for standard gynecomastia surgery. This gives him more control and also provides a more comfortable experience for the patient.

4. When can I shower after gynecomastia surgery?

You can shower the day after the drains are removed normally within 3 days of gynecomastia surgery. Dr. Delgado advises to gently pat incisions and then put your compression garment back on.

5. When will I be able to return to work after gynecomastia surgery?

Most men return to non strenuous work and light daily activities within 5 days of having gynecomastia surgery. For more strenuous work you will need to wait between 7 to 10 days before returning to work. Lower body light aerobic exercise can be started four weeks and full workouts six weeks following surgery.

6. How soon can I swim after gynecomastia surgery?

You should avoid exercise and swimming for six weeks following gynecomastia surgery. This is to prevent contaminants causing infection and arm movements pulling on the incision sites.

7. How long does it take to see the results of gynecomastia surgery?

You will see results immediately after surgery. Swelling and bruising will decrease over the following 10 days and by six months, the final bit of swelling will have gone, and the final results will be evident.

 

Boost your confidence and feel free to enjoy life with gynecomastia surgery. Dr. Delgado provides free virtual consultations so that you can share your goals and expectations. If you have any questions, feel free to get in touch !

 

For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form.

 

 

Miguel Delgado, M.D., F.A.C.S is a world-renowned Board-Certified Plastic Surgeon granted by the American Board of Plastic and Reconstructive Surgery and a member of the American Society of Plastic Surgery and Aesthetic Society. Dr. Delgado has a surgical practice solely dedicated to cosmetic plastic surgery. He specializes in gynecomastia surgery and is the medical director of Gynecomastia.org, the oldest and largest gynecomastia forum dedicated to supporting, educating, and providing solutions for men with breast enlargement. Dr. Delgado celebrates 30 years of practice in San Francisco, California. He was voted the “Best Plastic Surgeon of 2017-2021”.

Gynecomastia.org does not provide medical advice, treatment, or diagnosis.

Get Rid of Man Boobs Fast. The Quickest Ways to Hide Your Moobs

Get Rid of Man Boobs Fast. The Quickest Ways to Hide Your Moobs

Man Walking Outside Dressed Smartly

Man boobs are often joked about, but living with man boobs can be distressing. Surgery for man boobs is the fastest way to get rid of enlarged male breasts. However, if you are unable to have surgery for man boobs, there are ways to hide your moobs. 

Man boobs can range in size significantly. Some men with gynecomastia symptoms will only have a small degree of enlargement, while others can have enlarged male breasts similar to female breasts. Surgeons separate gynecomastia into four grades based on the amount of fatty tissue and breast gland enlargement present.

Types of Man Boobs and Grades of Gynecomastia

Grades of gynecomastia as per the American Society of Plastic Surgery (ASPS) classification system are:

  • Grade 1 – Small amount of breast glandular tissue with or without puffy nipples.
  • Grade 2 – Mild to moderate enlargement of breast glandular tissue, often with fatty tissue, which causes male breast enlargement with a feminine appearance.
  • Grade 3 – Moderate to significant enlargement of breast glandular tissue with fatty tissue, resulting in fuller male breasts.
  • Grade 4 – Significant breast enlargement, with breast glandular tissue, fatty tissue, and excess skin, causing larger male breasts with a deep breast crease.

The Best Men’s Shapewear to Hide Man Boobs

The quickest way to hide man boobs, or moobs, is with male compression vests, also sold as men’s shapewear. Male vests for man boobs compress the glandular and fatty tissue to make the chest look flatter. You can also buy men’s shapewear to compress your stomach area for an overall improved upper-body appearance. 

The style of compression vest you choose will depend on the size of your enlarged male breasts and the amount of compression required. Some men might find a compression vest that looks like a “normal” men’s vest is sufficient. However, if you have moderate to large man boobs, you may need to consider a compression garment that is more like actual underwear.

Three Popular Brands of Men’s Shapewear 

Men’s shapewear has become increasingly popular, and the good news is many brands now produce good quality men’s compression garments. Below are five top brands that offer various styles of compression shapewear to wear underneath your clothes.

1. Spanx

Spanx range for men has a range of stylish vests and t-shirt style tops that no one would know are compression garments. 

Spanx shapewear, compression vests, and tops for men include:

  • Compression crew neck style t-shirt
  • Compression vest
  • Compression tank top.

Now that you know which body shapers are the best shapewear for men, you can cut a svelte physique underneath your clothes.

2. Underworks

Underworks offer a choice of tops and vests marketed as medical-grade compression garments available as vests and high-power chest binders designed specifically to hide larger man boobs.

Underworks compression vests and chest binders include:

  • Compression tank tops
  • Chest binder compression tank tops
  • Chest binder in a short, discreet low-neck vest. 

3. Leo

Leo men’s shapewear is made from a patented PowerSlim® fabric and SkinFuse® seamless compression fabric. Leo also offers a range of vests with different degrees of compression to provide extra strength depending on the amount of flattening required.

Leo compression vests include:

  • Body shaper vests with back support and maximum compression
  • Tank tops with moderate compression
  • Crew neck seamless tank tops with light compression.

How to Hide Man Boobs without Wearing a Man Boobs Vest

Men’s shapewear is not the only way to hide enlarged male breasts. If you have grade 1 or 2 gynecomastia, you may prefer to use tape to strap down your man boobs. Companies now make tape marketed for hiding man boobs. Another readily available option is surgical tape. You may also decide to use tape to provide extra pressure under a compression vest if you have larger man boobs for additional chest flattening.

Best Clothes to Hide Man Boobs

Some men find compression vests or garments and tape uncomfortable. The alternative is careful clothing choices. Here are three things to look for if you want your clothes to hide man boobs:

  1. Color is one of the best ways to hide man boobs. Darker colors like dark gray, dark blue, and dark red can work, as well as black, of course. 
  2. Fabric is essential. Clingy and thin fabrics will make man boobs more obvious. Choose structured fabrics such as linen and heavier fabrics.
  3. Style and fit can make a real difference. The best way to hide man boobs is to wear a t-shirt under a loose-fitting shirt. 

If you are fed up with trying to conceal enlarged male breasts, surgery for man boobs is the quickest, most reliable way to banish man boobs for good.

For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form

 

 

Miguel Delgado, M.D., F.A.C.S is a world-renowned Board-Certified Plastic Surgeon granted by the American Board of Plastic and Reconstructive Surgery and a member of the American Society of Plastic Surgery and Aesthetic Society. Dr. Delgado has a surgical practice solely dedicated to cosmetic plastic surgery. He specializes in gynecomastia surgery and is the medical director of Gynecomastia.org, the oldest and largest gynecomastia forum dedicated to supporting, educating, and providing solutions for men with breast enlargement. Dr. Delgado celebrates 30 years of practice in San Francisco, California. He was voted the “Best Plastic Surgeon of 2017-2021.” 

Gynecomastia.org does not provide medical advice, treatment, or diagnosis. 

What to Do if You Have Man Boobs in Your Teens

What to Do if You Have Man Boobs in Your Teens

What Causes Gynecomastia in Teenagers and Boys?

Gynecomastia in adolescents or teenage boys occurs during puberty, although symptoms can start as early as age 10. However, on average, initial symptoms of gynecomastia start around age 13 to 14. The appearance of man boobs (or moobs) can be extremely distressing and affect confidence and social interaction. Often, gynecomastia symptoms in teenagers will result in avoiding activities that involve showing their chest, such as swimming. Changing clothes at school or college for sports can also be difficult.

By age 17, gynecomastia symptoms will normally have resolved. For teenagers with persistent gynecomastia, treatment or surgery may be required. Before considering any type of gynecomastia treatment, it is vital to visit a doctor for a gynecomastia physical evaluation. Teenagers may then be referred to a specialist in hormone-related conditions and disorders, called an endocrinologist. Various diagnostic blood tests to determine the cause of gynecomastia symptoms are usually carried out. When there are elevated rates of estrogen levels, treatment with medication may be an option. Three types of medication may be recommended to treat gynecomastia in teenagers caused by a hormone imbalance. 

Gynecomastia Symptoms in Teenagers and Boys

The initial symptoms of gynecomastia in teenagers and boys can vary. Usually, they will consist of slight soreness or tenderness in the chest area, increased nipple sensation, and a small lump underneath either one or both nipples. Increased growth of breast tissue may also occur, resulting in a more feminine appearance of the chest area. Gynecomastia has been classified into four grades, with grade 1 being the least severe and grade 4 the most severe. 

What Is Hormonal Gynecomastia in Teenagers?

Estrogen and androgen receptors determine the degree that breast glandular tissue grows in boys. Estrogen is responsible for breast tissue growth, and androgen receptors in boys are responsible for inhibiting the formation of excess glandular tissue. Gynecomastia symptoms in boys are thought to result from a rise in estrogen and an imbalance between estrogen levels and androgen receptors. 

During puberty, this causes the appearance of male breasts or man boobs. By the age of around 17, the balance corrects itself, and gynecomastia symptoms regress. This is why treatment with medication for gynecomastia in boys and younger teenagers is not usually offered. Psychological therapy is normally considered a more appropriate way of helping boys and teenagers affected by gynecomastia symptoms. 

By age 18, if gynecomastia symptoms persist, various medications have been shown to cause a regression of gynecomastia symptoms. The success of medications varies, and research has shown differing results in regression of gynecomastia symptoms following treatment with “gynecomastia” medication. 

Medication for the Treatment of Gynecomastia Symptoms in Teenagers

Currently, medication for gynecomastia is not FDA approved. The medications have been FDA approved for the treatment of other conditions, and when used for gynecomastia treatment, this is called “off-label” use. However, when a hormonal imbalance is diagnosed following blood tests, medications are often the first step for teenagers with persistent gynecomastia symptoms. There are three categories of medication that treat the estrogen/androgen imbalance, and they work in different ways.

Medications for Gynecomastia to Block Estrogen Receptors 

Medications designed to block estrogen receptors are collectively called selective estrogen receptor modulators  (SERMS). This type of medication is usually used to treat painful gynecomastia symptoms. The body continues to produce estrogen, but the effect on the breast cells is blocked. This category of medication was initially used to treat or reduce the risk of breast cancer in females.

The four SERMS for gynecomastia symptoms are:

  1. Tamoxifen (Brand name: Soltamox and Nolvadex) 
  2. Raloxifene (Brand name: Evista)
  3. Clomiphene (Brand name: Clomid )
  4. Toremifene (Brand name: Fareston).

Other medications used to treat gynecomastia symptoms include:

  • Danzole (Brand name: Danocrine) a synthetic androgen similar to testosterone.
  • Anastrozole (Brand name: Arimidex) a type of estrogen inhibitor that works by stopping the production of estrogen. 

Gynecomastia Medications Side Effects

All gynecomastia medications come with associated side effects, which are often the reason for discontinuing use. Research has shown that in some cases, when gynecomastia medication is stopped, gynecomastia symptoms can return.

Gynecomastia medication side effects include:

  • Erectile dysfunction 
  • Testicular atrophy (reduction in size of the testicles)
  • Sperm count decline
  • Reduction in bone density
  • Joint pain
  • Nausea and vomiting
  • Nipple tenderness
  • Visual disturbances 
  • Hair loss
  • Weight gain
  • Fatigue
  • Hot flushes
  • Headaches
  • Skin rash and irritation.

Gynecomastia Surgery for Teenagers and Adolescents 

Gynecomastia surgery is considered the most reliable solution to get rid of gynecomastia symptoms. It is the only permanent treatment for gynecomastia symptoms that does not come with the side effects that can be caused by gynecomastia medication. These side effects are one of the main reasons many male adolescents decide to have gynecomastia surgery. 

When choosing whether to try gynecomastia medication, it is important to consider how the side effect may impact you psychologically. This is especially relevant for teenage boys who already have psychological difficulties due to their gynecomastia symptoms. Gynecomastia surgery also has associated risks and complications, although they are rare or normally easily rectified with appropriate treatment. When gynecomastia surgery is performed by an experienced plastic surgeon, the patient satisfaction rate is high and incidence of complications relatively low.

Types of Gynecomastia Surgery  

Various procedures can correct gynecomastia symptoms and get rid of man boobs for good. The procedure option will be determined by the gynecomastia symptoms, and severe gynecomastia symptoms will require more extensive surgery to remove excess skin. When considering gynecomastia surgery, one of the main concerns is scars. 

Grade 1 and 2 gynecomastia incisions are normally located around the bottom edge of the areola. The resulting scars are usually difficult to detect due to the difference in color between the areola and the surrounding chest skin. Scars continue to fade and normally become difficult to detect within six months to a year. 

Gynecomastia Surgery for Grade 1 and Grade 2 Gynecomastia 

The “Pull Through” technique is a relatively new technique developed to treat grade 1 and some grade 2 cases of gynecomastia symptoms. The advantage with this technique is the absence of visible scars due to the small incision required. Liposuction may also be needed to even out the contours of the chest. The disadvantage is that this technique can often produce uneven results when not performed correctly. This is one of the reasons gynecomastia revision surgery is generally requested following this procedure.  

The “Standard” technique is usually used for grade 2 gynecomastia cases and involves a slightly longer incision around the bottom half of the areola. The breast glands are then excised along with fatty tissue, and liposuction is also often performed to smooth out the chest contours. The patient satisfaction rate following this procedure is high, and the scars, when healed, tend to be hard to see unless looking very closely.

A two-stage procedure is sometimes required for grade 2 and may be recommended for grade 3 gynecomastia symptoms. The first stage is the standard technique, followed by a periareolar lift around four to six months later. The periareolar lift is performed to remove excess skin and improve the contour of the chest. The advantage of the two-stage procedure is that incisions are only made around the edge of the areola.

Gynecomastia Surgery for Grade 3 and 4 Gynecomastia 

Grade 3 and 4 gynecomastia symptoms are rare in teenagers. When they do occur, incisions in the breast crease are required to remove excess skin. In some cases, the skin crease will extend to a roll that will continue to the back. When this happens, the incisions will need to be extended, and the resulting scars will inevitably be longer and more noticeable.

A double incision mastectomy is the most effective gynecomastia surgery for most grade 3 and all grade 4 gynecomastia symptoms. The procedure involves an incision made in the breast crease, which may extend to the back. The breast glandular and fatty tissue is excised, and liposuction is performed for even contours. Although scars will be visible, once faded, they tend not to be an issue, and most patients report being very happy with the results of this procedure. 

 

For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form

 

 

Dr. Delgado is a world-renowned Board-Certified Plastic Surgeon, a member of the American Society of Plastic Surgeons, and a recognized expert in the field of gynecomastia surgical procedures. Dr. Delgado is the medical director of Gynecomastia.org — the largest international forum providing unprecedented resources about gynecomastia treatments and surgical options.