How to Get Rid of Man Boobs: Your Complete Guide to Gynecomastia Surgery

How to Get Rid of Man Boobs: Your Complete Guide to Gynecomastia Surgery

Dr. Delgado with a patient discussing his gynecomastia.

Dr. Delgado with a patient discussing his gynecomastia.

Dealing with enlarged male breasts affects millions of men worldwide, with studies showing that up to 65% of adolescent boys and 35% of adult men experience some degree of breast enlargement at some point in their lives. While this condition, medically known as gynecomastia, is far more common than most people realize, it can significantly impact self-confidence and mental health. Most often, gynecomastia isn’t a serious problem, but it can be tough to cope with the condition. Gynecomastia is associated with significant psychological distress, social stigma, and dysphoria, further emphasizing the importance of effectively addressing the condition.

If you’ve been struggling with man boobs and wondering how to get rid of them permanently, you’re in the right place. This comprehensive guide will guide you through everything you need to know about gynecomastia surgery, from understanding the underlying causes to choosing the right surgeon and managing your recovery.

For many men, exercise and diet changes simply aren’t enough to address the underlying glandular breast tissue that characterizes true gynecomastia. When non-surgical treatments fall short, male breast reduction surgery offers a definitive solution with excellent long-term results and high patient satisfaction rates.

Key Takeaways

  • Gynecomastia surgery is the most effective permanent solution for man boobs, with success rates over 95% when performed by qualified surgeons.
  • Two main surgical techniques exist: liposuction for the removal of fatty tissue, excision for the removal of glandular tissue, and excess skin removal.
  • Most patients return to work within 3 to 7 days and resume normal activities within 2 to 3 weeks after surgery.
  • Non-surgical methods, such as exercise and diet, can help with pseudogynecomastia (fat-based), but cannot eliminate true glandular tissue.
  • Surgery costs typically range from $8,000 to $10,000 and are rarely covered by insurance, as it’s considered a cosmetic procedure. However, this does not include anesthesia or surgical facility fee. The medication and tissue pathology is usually covered with health insurance.

 

In the image, a doctor is seated across from a male patient in a medical office, discussing the patient's concerns about enlarged male breast tissue, possibly related to gynecomastia. The patient appears attentive, as they talk about treatment options such as male breast reduction surgery to remove excess breast tissue and address self-esteem issues.

A doctor explaining the characteristics and treatment for gynecomastia.

Introduction to Gynecomastia

Gynecomastia is a medical condition that causes the enlargement of breast tissue in males, affecting up to 65% of men at some point in their lives. The condition can affect one or both breasts, and the enlargement may be uneven (asymmetrical) or symmetrical. While often referred to as “man boobs” or “moobs,” it’s important to recognize that gynecomastia is a genuine health concern that can cause significant emotional distress and self-consciousness. Many men who develop enlarged breasts find the condition impacts their self-esteem and quality of life, prompting them to seek effective treatment options. Male breast reduction surgery is one of the most reliable solutions for those struggling with persistent breast enlargement. Various factors can trigger gynecomastia, including hormonal changes, certain medications, underlying health conditions, and certain medical conditions. Male breast reduction can be performed safely on both teenagers and adult men. Lower testosterone levels, often due to certain health conditions, can disrupt the hormonal balance and contribute to the development of gynecomastia. Identifying the underlying cause is essential for developing a personalized treatment plan, whether that involves surgery or other approaches. By understanding the nature of gynecomastia and the available treatments, men can take proactive steps to restore their confidence and achieve a more masculine chest contour.

Understanding Gynecomastia vs Pseudogynecomastia

A patient of Dr. Delgado with excellent skin elasticity : Before and after photo of gynecomastia surgery

A patient of Dr. Delgado with excellent skin elasticity : Before and after photo of gynecomastia surgery

Before exploring surgical options, it’s crucial to understand what type of breast enlargement you’re dealing with. The term gynecomastia specifically refers to the enlargement of glandular breast tissue in males, while pseudogynecomastia describes enlarged male breasts caused primarily by excess fat tissue without significant glandular involvement.

True gynecomastia involves the proliferation of actual breast tissue behind the nipple area, creating a firm, sometimes tender mass that cannot be eliminated through diet and exercise alone. This glandular tissue develops due to hormonal imbalances, medications, medical conditions, or genetic factors that affect the levels of testosterone and estrogen in the body. Genetic conditions such as Klinefelter syndrome can also lead to gynecomastia by altering hormone ratios and increasing estrogen. Additionally, thyroid disease can disrupt hormonal balance and is linked to gynecomastia, further complicating the condition.

Pseudogynecomastia, on the other hand, results from excess body fat accumulation in the chest area and typically affects overweight men. Unlike true gynecomastia, pseudogynecomastia can often be improved if you lose weight and focus on targeted exercise. However, losing weight may not address true glandular tissue, so some men may still require surgical intervention for optimal results.

During a physical examination, healthcare providers can distinguish between these conditions by palpating the breast area. Gynecomastia typically presents as a firm, disc-like mass of glandular breast tissue directly beneath the nipple and areola, while pseudogynecomastia feels softer and more diffuse throughout the chest. Most occurrences of gynecomastia do not require diagnostic tests.

The hormonal causes of gynecomastia are complex and can involve several factors. Declining testosterone levels, increased estrogen production, certain medications including anabolic steroids, medical conditions affecting the liver or kidneys, and even tumors of the pituitary gland or adrenal glands can contribute to hormone changes that trigger excess glandular tissue growth.

Age-related statistics reveal interesting patterns in the prevalence of gynecomastia. While approximately 70% of adolescent boys experience some degree of breast enlargement during puberty, this often resolves naturally as hormone levels stabilize. Even male babies can develop gynecomastia due to exposure to maternal hormones, but this usually resolves on its own. However, 35% of adult men continue to struggle with enlarged breasts, with peak incidence occurring between 50 and 69, when testosterone levels naturally decline.

Non-surgical and surgical options are available for treating gynecomastia. However, other treatments, such as medication or addressing underlying causes, may be considered case-by-case.

Causes of Enlarged Breasts in Men

Handsome male with medication induced gynecomastia.

Young man with enlarged breast due to medication induced gynecomastia.

Enlarged breasts in men, medically known as gynecomastia, can develop for various reasons. One of the most common causes is hormonal imbalance—specifically, an increase in estrogen levels or a decrease in testosterone levels. Testosterone usually prevents breast tissue from expanding in males. Estrogen stimulates the growth of breast tissue, and when its effects outweigh testosterone, men may notice breast enlargement. The use of anabolic steroids, certain medications (such as antidepressants, antibiotics, or drugs for heart conditions), and some medical conditions can also disrupt hormone levels and contribute to gynecomastia. Conditions affecting the liver, kidneys, or endocrine system may play a role, as can tumors that alter hormone production. In some cases, gynecomastia is a symptom of an underlying medical condition that requires further investigation. Because the causes of gynecomastia are so varied, it’s important to consult a healthcare provider to determine the underlying cause and develop an effective treatment plan tailored to each individual’s needs.

Understanding Breast Tissue

Diagram of normal male breast tissue and one with gynecomastia

Diagram of normal male breast tissue and one with gynecomastia.

Male breast tissue is composed of both glandular tissue and fat, and understanding this composition is crucial for addressing gynecomastia. In cases of true gynecomastia, there is an overgrowth of glandular tissue, which is particularly sensitive to hormone levels changes—especially the balance between estrogen and testosterone. This excess glandular tissue can cause the breasts to feel firm or rubbery, and sometimes lead to symptoms such as breast tenderness, nipple discharge, or other changes in the breast area. These symptoms can be distressing and may prompt men to seek medical advice. Male breast reduction surgery targets this glandular tissue, removing the excess to restore a flatter, more masculine chest. By understanding how breast tissue responds to hormonal changes and other factors, patients and their doctors can select the most effective treatments — whether surgical or non-surgical — to address both the physical and emotional aspects of gynecomastia.

When Non-Surgical Methods Fall Short

Many men spend years attempting to address their enlarged male breasts through diet, exercise, and lifestyle modifications, before considering surgical options. While these approaches can be effective for pseudogynecomastia caused by excess fat, they have significant limitations when dealing with true glandular tissue. Weight loss achieved through cardiovascular exercise and dietary changes can help reduce excess body fat and diminish the appearance of enlarged male breasts in cases of pseudogynecomastia.

Cardiovascular exercise and chest-focused workouts can certainly help build muscle mass in the pectoral muscles and reduce body fat, but they cannot eliminate the glandular breast tissue that characterizes true gynecomastia. In fact, some men find that building chest muscles actually makes their breast enlargement more prominent by pushing the glandular tissue forward.

Compression garments and specific clothing modifications can provide temporary cosmetic improvement by flattening the chest appearance. However, these solutions don’t address the underlying tissue and can be uncomfortable or impractical for daily wear, especially in warm weather or during physical activities.

Several medication options exist for treating gynecomastia, including selective estrogen receptor modulators like tamoxifen and aromatase inhibitors that block estrogen production. However, these medical treatments typically show success rates of only 20-40% and are most effective when started early in the course of the condition. They’re also associated with potential side effects and require ongoing monitoring by healthcare providers.

Most medical experts recommend considering surgical options when gynecomastia has been present for more than two years without improvement, as the likelihood of spontaneous resolution decreases significantly after this timeframe. For men whose condition persists beyond this point or causes significant psychological distress, male breast reduction surgery offers the most reliable path to permanent improvement.

The decision to pursue gynecomastia surgery often comes after men have exhausted other treatment options and recognize that non-surgical approaches cannot address their specific type of breast tissue enlargement. Understanding these limitations helps set realistic expectations and guides patients toward the most appropriate treatment for their individual situation.

Images depicting the stages of gynecomastia, from Grade 1 with puffy nipples to Grade 4 with excess skin.

Images depicting the stages of gynecomastia, from Grade 1 with puffy nipples to Grade 4 with excess skin.

Types of Gynecomastia Surgery for Excess Breast Tissue

Male breast reduction surgery encompasses several techniques, each designed to address specific types of tissue excess and varying degrees of enlargement. For example, liposuction is often performed through small incisions, allowing the surgeon to remove excess fat tissue with minimal scarring. This minimally invasive approach is particularly effective when the enlarged breast tissue is primarily composed of fat rather than glandular tissue. The choice of surgical procedure depends on the grade of gynecomastia, the composition of excess tissue (fat versus glandular), and the amount of excess skin present.

Plastic surgeons typically use a grading system to classify the severity of gynecomastia and guide surgical planning. Grade I involves small enlargement without excess skin, Grade II includes moderate enlargement with (IIb) or without (IIa) excess skin, and Grade III presents marked enlargement with significant excess skin requiring more extensive surgical intervention.

Liposuction for Gynecomastia

Liposuction techniques have evolved significantly, offering excellent options for removing excess fat tissue while minimizing scarring. VASER liposuction technology uses ultrasonic energy to selectively target fat cells while preserving surrounding tissues, resulting in smoother contours and reduced recovery time.

Power-assisted liposuction (PAL) represents another advanced technique that uses mechanical vibration to break up fat deposits more efficiently. This approach allows surgeons to remove larger volumes of tissue through smaller incisions, while maintaining precise control over the contouring process.

The liposuction procedure typically begins with tumescent fluid injection, a solution containing local anesthetic and epinephrine that helps reduce bleeding and post-operative pain. Surgeons then insert small cannulas through tiny incisions, usually measuring just 3-4mm, strategically placed to minimize visible scarring.

Expected fat removal volumes vary based on individual anatomy, but typically range from 200-800ml per side. The minimal scarring associated with liposuction-only approaches makes this technique attractive for men with primarily fatty tissue excess and good skin elasticity.

Surgical Excision Techniques

Patient with grade 3 gynecomastia after gynecomastia surgery with skin excision at 3 months.

Patient with grade 3 gynecomastia after gynecomastia surgery with skin excision at 3 months.

When significant glandular tissue or excess skin is present, surgical excision becomes necessary to achieve optimal results. The most common approach involves periareolar incisions placed along the natural border between the areola and surrounding skin, which heal with minimal visible scarring.

Glandular tissue removal typically involves excising 50-200g of tissue per side, depending on the severity of enlargement. Surgeons must carefully preserve adequate tissue to maintain natural chest contours, while removing enough material to eliminate the feminine appearance.

For cases involving enlarged or malpositioned nipple-areola complexes, repositioning procedures can restore more masculine proportions. This may involve reducing areola size, lifting the nipple position, or both, depending on individual anatomy and aesthetic goals.

More extensive skin excision patterns become necessary in severe cases where significant skin redundancy exists. These procedures may involve larger incisions, but are essential for achieving tight, masculine chest contours in patients with Grade III gynecomastia.

Advanced tissue preservation techniques enable surgeons to achieve natural-looking results while removing sufficient tissue to effectively treat the condition. This requires careful attention to maintaining the appropriate thickness of remaining tissue and preserving the blood supply to the nipple-areola complex.

Pre-Surgery Preparation

Preparing for gynecomastia surgery, or male breast reduction surgery, involves several important steps to ensure the best possible outcome. The surgical procedure is designed to remove excess breast tissue—both glandular tissue and fat—to create a more masculine chest shape. Before surgery, patients should provide a complete medical history and undergo a thorough physical examination to identify any underlying medical conditions that could affect the procedure or recovery. It’s essential to stop taking certain medications, such as blood thinners, and to avoid smoking and alcohol in the weeks leading up to surgery, as these can interfere with healing. The surgeon will explain the details of the surgical procedure, including the location of incisions and what to expect during recovery. Patients should also be aware of potential risks and complications, such as infection, scarring, or changes in nipple sensation, and discuss any concerns with their surgeon. With careful preparation and clear communication, male breast reduction surgery can be a highly effective treatment for gynecomastia, helping men regain confidence and comfort in their appearance.

The Complete Surgical Process

Understanding the entire surgical journey helps patients prepare mentally and physically for their male breast reduction surgery. The process begins weeks before the actual procedure, and continues through several months of recovery and follow-up care.

The initial consultation includes a comprehensive physical examination, a review of your medical history, and a discussion of your treatment goals and expectations. Surgeons evaluate the type and extent of breast tissue enlargement, assess the quality and elasticity of the skin, and determine the most appropriate surgical approach for each individual case.

Preoperative testing requirements may include a complete blood count (CBC), comprehensive metabolic panel, hormone level assessments, and occasionally mammography or ultrasound imaging to rule out underlying pathology. Screening for male breast cancer is an important part of the evaluation process to rule out malignancy before surgery. These tests help ensure patient safety and identify any medical conditions that might affect surgical outcomes.

Medication adjustments begin approximately two weeks before surgery, with patients typically required to stop blood-thinning medications, anti-inflammatory drugs, and certain supplements that might increase bleeding risk. Patients must also address any underlying medical conditions and optimize their general health status.

Smoking cessation is one of the most critical pre-operative requirements, with surgeons typically requiring patients to stop all tobacco and nicotine use for at least four weeks before and after surgery. Nicotine significantly impairs wound healing and increases the risk of complications, making this requirement non-negotiable for most surgeons.

During Surgery

A patient after minimal invasive gynecomastia surgery.

A patient after minimal invasive gynecomastia surgery.

The day of surgery typically begins with arrival at the surgical facility 1 to 2 hours before the scheduled procedure time. Patients undergo final pre-operative assessments, meet with the anesthesia team, and have surgical sites marked while standing upright to ensure optimal symmetry.

Anesthesia options include local anesthesia with intravenous sedation for less extensive procedures, or general anesthesia for more complex cases involving significant tissue removal or skin excision. The choice depends on the planned surgical technique, patient preferences, and surgeon recommendations.

Surgical duration varies considerably depending on the complexity of the case, ranging from 1-3 hours for most procedures. Simple liposuction-only cases may require just 60-90 minutes, while combined approaches with excision and skin removal can take 2-3 hours to complete safely.

Throughout the surgical procedure, careful attention is paid to achieving symmetric results, maintaining natural chest contours, and preserving blood supply to the nipple-areola complex. Surgeons use various measurement techniques and frequent assessment to ensure optimal outcomes.

Immediate post-operative care includes the application of compression dressings or specialized garments, administration of pain medication, and assessment of initial results. Most patients are discharged the same day as their outpatient procedure, provided they meet specific recovery criteria and have the supervision of a responsible adult. Surgery for male breast reduction is usually an outpatient procedure, allowing patients to go home the same day.

Recovery Timeline and Expectations

The first 48 hours after surgery represent the most critical period for pain management and initial healing. Most patients experience moderate discomfort that responds well to prescribed pain medications, with pain levels typically rating 4-6 out of 10 during this initial period. Patients may also experience soreness in the chest area for several days after surgery, but this typically improves with medication and time. It is normal to feel sore after gynecomastia surgery, and this soreness usually subsides within a few days to weeks as part of the normal healing process. Moderate pain, swelling, and bruising are common after surgery. Recovery after gynecomastia surgery typically involves wearing a supportive garment to reduce swelling. They gradually subside over the following weeks, marking steady progress in recovery.

Week one involves continuously wearing compression garments, limiting arm movement to avoid stress on healing incisions, and focusing on rest and gentle movement. Patients can usually shower after 24-48 hours, but must keep incision sites dry and follow specific wound care instructions.

Weeks 2-3 mark the beginning of a gradual return to normal activities, with most patients able to return to desk work and light activities. Compression garment wear continues, but patients typically experience significant improvement in comfort and mobility during this period. Recovery typically lasts between four and six weeks, with final results fully visible over several months as swelling subsides and tissues settle into their new position.

The 4-6 week timeframe allows for resumption of exercise and heavy lifting activities, though surgeons provide specific guidelines based on individual healing progress. Most swelling subsides during this period, revealing more accurate representations of final results.

Final results become fully apparent 3-6 months after surgery, as all swelling resolves completely and tissues settle into their new position. During this time, patients can assess the final outcome and determine if minor revisions might be beneficial.

Choosing the Right Surgeon

Dr. Delgado, a board certified plastic surgeon and gynecomastia specialist.

Dr. Delgado, a board certified plastic surgeon and gynecomastia specialist.

Selecting a qualified surgeon is one of the most important decisions in the gynecomastia surgery process. The expertise and experience of your chosen surgeon directly impact both the safety of your procedure and the quality of your results.

Board certification in plastic surgery or cosmetic surgery provides the foundation for a surgeon’s qualification. These certifications require extensive training, ongoing education, and demonstrated competency in surgical techniques specific to aesthetic and reconstructive procedures.

Specific experience with male breast reduction procedures is crucial, as gynecomastia surgery requires specialized knowledge of male chest anatomy and aesthetic ideals. Look for surgeons who perform at least 50+ gynecomastia procedures annually, as this volume ensures ongoing refinement of technique and familiarity with various case complexities.

A comprehensive before-and-after photo portfolio allows potential patients to assess the surgeon’s aesthetic judgment and technical skill. Review multiple cases similar to your own condition, paying attention to symmetry, natural-looking results, and the quality of scar placement.

Hospital privileges and surgery in accredited facilities provide additional assurance of safety. Surgeons with hospital privileges have undergone credentialing processes that verify their training and competency, while accredited surgical facilities meet strict safety and equipment standards.

Patient testimonials and online reviews provide valuable insights into the patient experience, including the quality of communication, staff professionalism, and satisfaction with the results. Look for patterns in feedback and pay attention to how surgeons respond to negative reviews or concerns.

During consultation appointments, assess the surgeon’s communication style, willingness to answer questions thoroughly, and ability to explain procedures in understandable terms. A qualified surgeon should provide realistic expectations, discuss potential risks openly and honestly, and demonstrate genuine interest in achieving your specific goals.

Costs and Insurance Considerations

Understanding the financial aspects of gynecomastia surgery enables patients to plan effectively and make informed decisions about their treatment options. Costs vary significantly based on geographic location, surgeon experience, facility type, and complexity of the required surgical procedure.

Average surgery costs typically break down into several components: surgeon fees ranging from $8,000 to $10,000, surgical facility fees of $500 to $1,500, and anesthesia costs of $1,000 to $1,300. Additional expenses may include lab test if needed, pathology, post-operative medications, and compression garments. Medications and tissue pathology is often covered by health insurance.

Geographic cost variations across major U.S. cities can be substantial, with procedures in metropolitan areas like New York, Los Angeles, and Miami typically cost more than those in smaller cities or rural areas. However, patients should prioritize surgeon qualification and experience over cost considerations when making their selection.

Insurance coverage for gynecomastia surgery remains limited, as most insurance companies classify the procedure as cosmetic rather than medically necessary. Coverage criteria, when they exist, typically require documentation of significant psychological distress, failed medical therapy, and sometimes evidence of breast cancer risk factors.

To qualify for potential insurance coverage, patients typically require extensive documentation, including medical history records, photographs, psychological evaluations, and letters from multiple healthcare providers, that support the medical necessity of the surgical treatment. Even with this documentation, approval rates remain low.

Financing options and payment plans have become increasingly available through specialized medical financing companies and some surgical practices. These options enable patients to spread the cost of surgery over 12-60 months, with varying interest rates and qualification requirements.

When comparing costs with non-surgical alternatives, surgery often proves more cost-effective over time. While the initial investment is significant, the permanent nature of surgical results eliminates ongoing expenses, such as compression garments, medications, or repeated non-surgical treatments that may only provide temporary improvement.

Risks and Complications

Like any surgical procedure, gynecomastia surgery carries certain risks and potential complications that patients must understand before making treatment decisions. While serious complications are rare when qualified surgeons perform surgery in appropriate facilities, being informed about possible issues helps patients make educated choices and recognize signs that require medical attention. Complications can include excessive bleeding, infection, and visible scarring, which may require realistic expectations based on the patient’s specific situation.

Common temporary side effects affect most patients to some extent, and typically resolve within 2-6 months. These include swelling, bruising, temporary numbness of the chest and nipple area, and mild asymmetry during the healing process. Most patients find these effects manageable and accept them as normal parts of the recovery process.

More significant but still relatively common issues include seroma formation (fluid accumulation), minor wound healing problems, and temporary changes in nipple sensation. These complications occur in approximately 5-15% of cases, but usually resolve with appropriate treatment and don’t affect final results.

Rare but serious complications require immediate medical attention and can impact both safety and outcomes. Infection occurs in less than 1% of cases when proper surgical protocols are followed, while hematoma (blood accumulation) affects 2-3% of patients and may require drainage procedures.

Asymmetry requiring revision surgery affects 5-10% of patients. However, minor asymmetries are common and often improve over time. Factors contributing to asymmetry include differences in tissue composition between the sides, variations in healing, and occasionally technical factors during surgery.

Scarring expectations vary based on surgical technique, with periareolar incisions typically healing well with minimal visibility. However, some patients may develop thicker scars or keloid formation, particularly those with genetic predispositions to abnormal scar formation.

Signs requiring immediate medical attention include excessive bleeding, signs of infection (such as fever, increased redness, warmth, or drainage), severe or worsening pain, and any concerns about wound healing. Patients should have clear instructions on how to contact their surgeon and access emergency care if needed.

According to recent studies, long-term satisfaction rates exceed 95%, with most patients reporting significant improvements in self-confidence, body image, and quality of life. These high satisfaction rates reflect both the effectiveness of modern surgical techniques and appropriate patient selection by experienced surgeons.

Maintaining Long-Term Results

Achieving excellent results from gynecomastia surgery is only the beginning of the journey. Maintaining those results over the long term requires ongoing attention to lifestyle factors, medical monitoring, and general health maintenance.

Weight management plays a crucial role in preserving surgical outcomes, as significant weight gain can lead to the accumulation of new fat in the chest area. While the removed glandular tissue cannot regenerate, gaining more than 20 pounds above post-surgical weight may compromise the improved chest contour achieved through surgery.

Regular hormone monitoring and medical follow-ups help identify and address any underlying conditions that could contribute to breast tissue enlargement. Men with persistent hormonal imbalances, certain medical conditions, or those taking medications that affect hormone levels may require ongoing medical management to prevent recurrence.

Exercise recommendations focus on maintaining overall fitness while building and preserving chest muscle mass. Regular strength training that targets the pectoral muscles helps maintain chest definition and enhances the masculine appearance achieved through surgery. However, patients should avoid overdeveloping their chest muscles, as this could create an unnatural appearance.

Medication avoidance becomes particularly important for men who have undergone gynecomastia surgery. Anabolic steroids, certain antidepressants, anti-anxiety medications, and some blood pressure medications can contribute to breast tissue enlargement. They should be avoided when possible, or used only under careful medical supervision.

Avoiding substances that can contribute to gynecomastia includes limiting alcohol consumption, avoiding marijuana use, and steering clear of anabolic steroids or other performance-enhancing substances. These substances can disrupt hormone balance and potentially contribute to the growth of new tissue.

Annual check-ups with your surgeon or primary care physician help monitor results and address any concerns early. During these appointments, healthcare providers can assess the chest contour, check for any signs of tissue regrowth, and discuss lifestyle factors that may affect long-term outcomes.

Patients should contact their surgeon if they notice significant changes in their chest appearance, the development of new lumps or masses, persistent pain or tenderness, or other concerning symptoms. Early intervention can often address minor issues before they become more significant problems.

Understanding that some natural aging changes will occur over time helps set realistic long-term expectations. While surgical results are generally permanent, factors such as skin aging, weight fluctuations, and natural tissue changes may cause minor alterations in chest appearance over time.

A fit man is exercising with weights, showcasing well-defined chest muscles after undergoing gynecomastia surgery to remove excess breast tissue. His maintained chest definition highlights the effectiveness of male breast reduction surgery in treating enlarged male breasts.

Ready to take the next step toward permanently getting rid of your man boobs? Don’t let gynecomastia continue to affect your self-confidence and quality of life. Contact Dr. Delgado’s office today at gynecomastia.org to schedule your consultation and explore your surgical options. With his extensive experience in male breast reduction surgery, Dr. Delgado can help you achieve the masculine chest contour you’ve been seeking.

Why chose Dr. Delgado for your surgery?

Dr. Miguel Delgado is a renowned expert in gynecomastia surgery with decades of experience specializing exclusively in male breast reduction. His deep understanding of the unique anatomical and psychological aspects of gynecomastia allows him to tailor surgical plans precisely to each patient’s needs. Dr. Delgado’s approach emphasizes natural-looking results that restore a masculine chest contour while minimizing visible scarring.

Patients consistently praise Dr. Delgado for his compassionate bedside manner and thorough consultations, where he ensures all questions are answered and realistic expectations are set. His commitment to patient education empowers men to make informed decisions about their treatment options.

Utilizing the latest surgical techniques, including advanced liposuction technologies and refined excision methods, Dr. Delgado achieves high success rates with minimal complications. His meticulous attention to detail during surgery helps preserve nipple sensation and symmetry, which are critical for patient satisfaction.

Dr. Delgado’s surgical center is equipped with state-of-the-art facilities, ensuring the highest standards of safety and comfort. He and his experienced team provide comprehensive preoperative and postoperative care, guiding patients through every step of their recovery to optimize healing and outcomes.

Whether you are a teenager experiencing persistent adolescent gynecomastia or an adult seeking a permanent solution to enlarged male breast tissue, Dr. Delgado’s expertise offers the confidence and results you deserve. His personalized approach ensures that each patient achieves a chest contour that enhances self-esteem and quality of life.

Call Today!

Dr. Delgado welcomes you for a complimentary consultation or call 415-898-4161.

Conclusion

Gynecomastia, or enlarged male breast tissue, is a condition that affects more than half of all men at some point in their lives. It results from hormone changes—specifically, an imbalance between estrogen and testosterone—that lead to excess breast tissue. This can be triggered by natural life stages, certain medications, underlying health conditions, or lifestyle factors. Symptoms such as swollen breast tissue, breast tenderness, and even nipple discharge can cause significant discomfort and concern.

For many people with gynecomastia, the impact goes beyond physical symptoms. The presence of excess glandular tissue can make men feel embarrassed, self-conscious, and anxious about their appearance, often affecting their self-esteem and mental health. Addressing gynecomastia is not just about improving the look of the chest—it’s about restoring confidence and quality of life.

Male breast reduction surgery, also known as gynecomastia surgery, is a highly effective treatment for those struggling with persistent or severe cases of enlarged male breast tissue. This surgical procedure removes excess glandular tissue and fat, helping create a flatter, more masculine chest contour. With the expertise of a qualified plastic surgeon, men can achieve lasting results and regain their self-assurance.

While surgery is the most effective treatment for significant or stubborn cases, other treatments may be appropriate for milder forms of gynecomastia. These can include hormone therapy, lifestyle changes, and addressing the underlying cause—such as switching certain medications or managing health conditions that contribute to hormone imbalance. Losing weight and building muscle, especially in the chest area, can also help reduce the appearance of excess breast tissue in some cases.

Preventing gynecomastia involves maintaining a healthy lifestyle, being mindful of medications and substances that can affect hormone levels, and seeking prompt medical attention for any new symptoms. Early intervention can help manage symptoms and prevent progression to more severe cases that may require surgery.

Ultimately, gynecomastia is a common and treatable condition. By understanding the causes, recognizing the symptoms, and exploring the full range of treatment options—including male breast reduction surgery—men can take control of their health and well-being. Consulting with a qualified healthcare professional is the first step toward finding the most effective treatment and achieving a more confident, masculine body image.

FAQ’s

Will gynecomastia surgery leave visible scars? Most scars fade significantly within 12-18 months and become barely noticeable, especially with periareolar incisions that follow the natural border of the areola. The final scar appearance depends on factors such as skin type, healing ability, and post-operative care. However, experienced surgeons employ techniques designed to minimize scarring.

Can gynecomastia return after surgery? Recurrence is rare (less than 5%) when glandular tissue is completely removed, though significant weight gain or hormonal imbalances can cause new fat accumulation. The removed glandular breast tissue cannot regenerate, making surgical results generally permanent when underlying causes are controlled.

What’s the minimum age for gynecomastia surgery? Most surgeons recommend waiting until at least 18 years old, or when breast development has been stable for 2+ years, as adolescent gynecomastia often resolves naturally. Surgery in younger patients is only considered in severe cases, causing significant psychological distress after thorough evaluation.

How long will it take before I can see the final results? Initial improvement is immediate, but the final results become apparent after 3-6 months, once all swelling subsides and the tissues have settled into their new position. Some minor improvements in contour and scar appearance may continue for up to 12-18 months after surgery.

Is the surgery painful? Most patients rate their pain as 4-6/10 for the first few days, which is easily managed with prescribed pain medication, and discomfort typically resolves within one week. Modern pain management techniques and surgical approaches have significantly reduced post-operative discomfort compared to older methods. Some men experience temporary sensation loss in the treated areas after surgery, which usually returns over time.

Does Finasteride Cause Gynecomastia?

Does Finasteride Cause Gynecomastia?

Many men across the world suffer from enlarged breasts, which can cause self-consciousness and embarrassment. This condition, called gynecomastia, can be caused by many different factors, including medication. Read on to learn more about how the hair growth medication Finasteride can affect gynecomastia, as well as other medications.

What is Gynecomastia?

Gynecomastia is a condition that is often caused by an imbalance of testosterone and estrogen in males. Certain medications can also cause male breast tissue to become enlarged. This enlarged breast tissue in boys and men can lead to self-consciousness. This condition can occur at different times in a male’s life, including at birth, during puberty, or adulthood.

There are also two types of gynecomastia including true gynecomastia and pseudo gynecomastia. With true gynecomastia, enlarged male breasts are caused by the development of breast tissue. The only solution for true gynecomastia is male breast reduction surgery. Pseudo gynecomastia is caused by an accumulation of fat in the chest area. It can often be reduced with weight loss or liposuction.

Finasteride Induced Gynecomastia

Finasteride is a popular treatment for androgenetic alopecia or male balding. It is given at a dose of 1 mg daily and has a relatively good safety profile. However, Finasteride is associated with gynecomastia in some men with a risk of about 4 to 10 out of every 1,000 users. Gynecomastia induced by Finasteride was often found to affect just one breast but can affect both as well. Some patients began to see gynecomastia symptoms as early as 1-2 weeks after starting this drug, but most noticed changes after a few months. Pain and/or tenderness often occur in those with Finasteride-induced gynecomastia due to the enlargement of breast tissue. For those who stop the drug completely in the early stages of gynecomastia, the condition may be reversed completely. However, if the drug is continued, it can lead to a stage of gynecomastia that can only be corrected with surgery.

Other Drugs that May Cause Gynecomastia

Along with Finasteride, there are also an array of other drugs that can lead to gynecomastia, including the following:

  • Heartburn medications: H-2 receptor blockers that are used to treat heartburn and ulcers have some evidence of causing gynecomastia. Cimetidine is a drug in this class that has one of the highest risks.
  • Ketoconazole (anti-fungal): The risk for gynecomastia is increased when taking oral Ketoconazole.
  • Lavender oil and tea tree oils: These essential oils have been shown to cause an increased risk of gynecomastia in children. Tee tree and lavender oils can be found in lotions, shampoos, and soaps.
  • Other drugs: Many other drugs can be linked to gynecomastia, including spironolactone, cimetidine, ketoconazole, hGH, estrogens, hCG, anti-androgens, GnRH analogs, and 5-α reductase inhibitors. Other drugs that have been labeled as “probably associated with gynecomastia” include verapamil, risperidone, omeprazole, nifedipine, alkylating agents, HIV medications, anabolic steroids, opioids, and alcohol.

Schedule a Consultation

If you are tired of living with gynecomastia and are seeking professional treatment, please contact Dr. Delgado today at 415-898-4161. Your first step toward treatment will be to schedule a consultation appointment to determine which treatment option is best for you.

Signs and Symptoms of High Estrogen (Gynecomastia): Diagnosis, Treatment, and More

Signs and Symptoms of High Estrogen (Gynecomastia): Diagnosis, Treatment, and More

Gynecomastia Signs and Symptoms of Low Testosterone

Estrogen in Men: Signs and Symptoms

Both men and women possess the same hormones, testosterone, and estrogen. The estrogen levels in women are higher, and the serum testosterone levels in men are higher. As is the case in women, estrogen also plays a significant role in the sexual function of men. There are some medications that may cause an excessive amount of estrogen to be produced in the body.

Your hormone levels can be identified by the results of the test if your estrogen or progesterone levels are too high or too low. In addition, you may also develop low testosterone or low progesterone levels in your body, which may disturb your hormonal imbalance. It is possible for men or women to experience symptoms of menopause associated with high estrogen levels, or even low testosterone levels. Blood tests are often used to determine whether your levels of a particular substance are too high or too low.

Both high and low estrogen levels can cause some long-term complications or indicate that there’s an underlying condition that should be treated. Here’s what you need to know.

 

How Much Estrogen Does a Man Normally Produce?

Estrone and estradiol are the two major types of estrogen in men. Picograms are measured per milliliter (pg/ml). The following summarizes the averages:

There are two types of estrogen: estrone and estradiol

  • Prepubescent male, between 16 and 13 picograms
  • Pubescent male weighing between 60 and 40 picograms
  • Male adult, 10-60 picograms to 10-40 picograms

 

Here Are Some of The Main Symptoms of High Estrogen Levels

  • Problems related to fertility. A key factor in the production of sperm is the hormone estrogen. High estrogen levels have been shown to adversely affect sperm production and, as a consequence, can make it more difficult for women to conceive.
  • Gynecomastia in men. Manboobs are an enlargement of the male breast tissue caused by increased estrogen levels in the body. Gynecomastia can be caused by high levels. Breast tissue in this area is abnormally high.
  • The condition is known as erectile dysfunction (ED). Having an increase in estrogen can affect the balance of hormones that are essential for obtaining and maintaining an erection. Low testosterone is especially relevant if you are also experiencing slowed growth. Short stature or delayed puberty may also be a consequence of excess estrogen.
  • Closure of the epiphysis. It is possible for male adolescents to have short stature when estrogen levels are high.

 

The following is a list of possible symptoms of high estrogen that may occur in conjunction with other hormone imbalances:

  • Reduced sexual activity
  • Semen concentration of sperm is reduced
  • Feeling fatigued
  • Loss of hair on your entire body
  • Muscle mass is decreasing
  • Reduction in the size of the penis and testicles
  • (hot flashes) a sudden feeling of being hot
  • Having difficulty concentrating
  • Gynecomastia – male breast enlargement

 

Gynecomastia Estrogen levels

Causes of High Estrogen in Men

Your body is capable of producing a great deal of estrogen, either independently or in conjunction with less testosterone. Some medications and substances can increase estrogen levels, including:

  • Anxiety
  • A type of antibiotic
  • There are many different herbs and natural substances, such as ginkgo or ginseng
  • Phenothiazines (used to treat mental disorders) are pharmacologically active

You can also inherit high estrogen levels from your parents. A number of health conditions can also lead to an increase in estrogen levels, including:

  • Gaining weight under stress or becoming obese
  • Liver diseases
  • Hypergonadism, for instance, affects hormone balances

Men With Low Estrogen Levels Can Cause Gynecomastia or Enlarged Breasts in Men

Low estrogen levels are not usually a problem for men.

However, you may experience some of the same symptoms if you are deficient in estrogen. It is because estrogen imbalances can occur as a consequence of hypogonadism, a condition in which your body produces fewer hormones than normal.

Hypogonadism decreases levels of estrogen, testosterone, and other hormones, which causes many of the symptoms that have been associated with high estrogen levels.

 

Causes of Low Estrogen

Low estrogen due to hypogonadism can have a number of possible causes, including:

  • Hyperparathyroidism, also known as Addison’s disease
  • Testicles that do not descend because of kidney or liver problems
  • Radiation exposure
  • Surgery on the penis or testicles
  • Pituitary gland conditions
  • sarcoidosis
  • The tuberculous infection
  • histiocytosis
  • The condition of being obese
  • Loss of weight quickly
  • Nutritional deficiencies and lack of vitamins
  • Neurosurgery
  • The pituitary gland has a tumor on it or close to it

 

If your doctor suspects that you may have low or high levels of estrogen, they will conduct a laboratory blood test.

Your results should be available within a week. The level of estrogen in your blood is measured in picograms per milliliter (pg/mL). Your doctor will inform you of the next steps after receiving your results.

There is no need to take any action if they appear to be normal. Your doctor will make a recommendation if your levels are too high or too low so that you can achieve a balanced estrogen level.

Gynecomastia before and after estrogen

Managing Estrogen Levels in Men

Here are some of the possible treatments a doctor may recommend to help control your estrogen levels.

Medication

Aromatase inhibitors prevent an enzyme known as aromatase from turning androgens or testosterone into estrogen. In spite of this, research indicates that they do not have such a powerful effect.

The medication is not usually prescribed as a treatment, but if clinically indicated, it can help patients reduce their estrogen levels. Anastrozole (Arimidex) or exemestane (Aromasin) can be taken as medications.

Aromatase inhibitors are not as effective for the treatment of gynecomastia as SERMS, but they may have other clinical applications, including those involving breast cancer or boys with short stature. It is also possible to obtain aromatase inhibitors in natural forms, such as wild nettle root, maca, and grapeseed extract. It is important to discuss these natural options with your healthcare provider first.

 

Low Estrogen Diet

Maintaining a low estrogen level can also be achieved by making dietary changes.  Fiber-rich, low-fat diets are best for controlling estrogen levels. The following foods may be included in this type of diet:

  • As a result of cruciferous vegetables (such as broccoli and kale) containing phytochemicals, estrogen is decreased
  • Aromatase activity is naturally reduced by mushrooms such as shiitake and portobello
  • As well as whole grains, sesame seeds and flaxseeds provide a micronutrient called polyphenols, which is found in many grains, including oats, corn, and rice
  • Green tea also contains polyphenols
  • Phytochemicals in pomegranates block estrogen production

 

The consumption of meat treated with synthetic hormones may contain estrogen, so they should be avoided. In addition to the following products, you should also avoid:

  • Wraps or containers made of plastic that absorb food
  • Paraben-containing shampoos that contain estrogen

 

Exercise and Fitness to Reduce Gynecomastia

  • Maintaining a healthy weight can also reduce your estrogen levels:
  • Make a plan to get a physical to check your overall health
  • You should exercise for 15 to 30 minutes every day, and gradually increase the amount of time as you become comfortable
  • Alternate between cardio and strength training on different days
  • Take up regular exercise by joining a gym

 

Risks of Having High Estrogen as a Grown Adult

High levels of estrogen in a male increase your risk of certain conditions, including:

  • Gynecomastia or large male breast tissue
  • A diabetic state
  • Strokes caused by blood clots
  • Breast and prostate cancers are among these cancers.

Conclusion:

Having high estrogen levels or having low estrogen levels can both cause various long-term health problems or be a signal that a deeper problem must be addressed.

In case you think you may have abnormal levels of estrogen in your body, you should consult with a gynecomastia doctor as soon as possible.

FAQ’s

Can Gynecomastia Go Away?

Gynecomastia often goes away without treatment in less than two years. Treatment may be necessary if gynecomastia doesn’t improve on its own or if it causes significant pain, tenderness, or embarrassment. Enlarged breasts in men can also be psudogynecomastia and exercise and diet can reduce the fatty tissue of the breast to enhance a body changes.

How Do You Make Gynecomastia Go Away?

Gynecomastia is very common among men aged between 50 and 85. Various conditions can result in this condition, including obesity and type 2 diabetes, as well as side effects of medications. It is possible to reduce the amount of breast tissue by treating or managing these underlying health conditions, or by ceasing use of any medications that may be causing gynecomastia. Enlarged breasts in men and boys is a treatable condition and your doctor can guide you in the right direction.

It is possible to undergo male breast reduction surgery if gynecomastia does not resolve on its own. In addition to or instead of surgery, hormone therapy, or other medication, men who are willing to wear compression shirts can reduce the appearance of gynecomastia.

Losing weight may help to improve the condition of breast tissue resulting from the growth of fat (pseudogynecomastia). Pseudo-gynecomastia can sometimes be treated with liposuction in order to remove excess fat.

Does Testosterone Reduce Gynecomastia?

You should also consider treating low T in addition to gynecomastia. Age is associated with a decline in testosterone levels in men. It is for this reason that many older men seek testosterone replacement therapy. There are a number of treatment options available:

  • Gels for the skin
  • A patch
  • The injection of drugs

The results of testosterone replacement therapy are usually noticeable in men. The following often improves for them:

  • Energized
  • Intense sexual desire
  • An erection
  • The act of sleeping
  • Mass of muscle

Additionally, their outlook and mood may improve as a result of the treatment. Gynecomastia can be resolved with testosterone replacement therapy in men who have low testosterone levels.

Can Gynecomastia Go Away with Exercise?

Is it possible to remove gynecomastia by exercising? The answer is unfortunately no. Patients who make lifestyle changes such as exercising more or eating a healthier diet will find plenty of health benefits, but changes in gynecomastia symptoms are unlikely to occur. The root cause of gynecomastia is not related to weight at all – rather, it is commonly caused by hormones that cause male breast tissue to grow. This is an important distinction between gynecomastia breast gland tissue and pseudogynecomastia, which is a similar condition. Unlike gynecomastia, which is caused by a number of factors, including hormones and specific medical conditions, pseudogynecomastia is only caused by obesity.

Most patients lack good information regarding whether they suffer from gynecomastia or pseudogynecomastia, and without this knowledge, it is harder to determine how to treat their gynecomastia condition. There are several ways to distinguish between, despite the fact gynecomastia or pseudogynecomastia that their primary symptom is the appearance of the breasts. Consulting a gynecomastia doctor can help in the diagnosis.

Enlarged Breasts in Men (Gynecomastia) – Symptoms and Causes

Enlarged Breasts in Men (Gynecomastia) – Symptoms and Causes

Gynecomastia Before and After

What is Gynecomastia?

Gynecomastia is male breast enlargement when the breast gland tissue swells. Gynecomastia is caused when the male estrogen level is too high in relation to the testosterone level. The hormonal balance is tipped to the development of a female-like breast on a man. Gynecomastia can affect one or both breasts.

What Causes Gynecomastia Breast Gland Tissue?

Gynecomastia is caused by an imbalance between the male hormone testosterone and estrogen that controls female traits. Testosterone causes the development of male traits like body hair and muscle mass. Estrogen controls female characteristics like breast development. However, both sexes have an amount of the opposite hormone. When the balance of these hormones is “off,” different sex characteristics can develop. In the case of men, when the male estrogen level is too elevated or out of balance with testosterone levels, then Gynecomastia, aka man boobs, can develop.

Gynecomastia develops three times in a male’s life.

These time frames are when gynecomastia develops:

  • Immediately after birth. Newborn males are still carrying extra estrogen from their mothers during development. Over fifty percent of males are born with enlarging breasts; however, this usually resolves in a few weeks after birth.
  • During puberty or pubertal gynecomastia. Estrogen and testosterone levels change drastically during puberty. This occurs during 12-14 years of age. As much as 70 percent of young men develop Gynecomastia during this time. But, the male breast enlargement usually goes away between 6 months and two years. In about 25% of males, gynecomastia does not resolve completely.
  •  Midlife. Male breast enlargement usually peaks in men between the age of 50 and 80 years of age. Gynecomastia is due to the drop in testosterone levels, aka “low-T.” At this age. Over 65 percent of men are affected. During this time, breast cancer can develop at a rate of less than 1 percent.

 

There are other less common causes of Gynecomastia, but to mention, the most common are:

  • Pseudogynecomastia or “fake gynecomastia” is due to being overweight, and weight loss can dramatically help this condition. The enlarged male breasts are due to fatty tissue and not glandular tissue.
  • Drug-induced gynecomastia caused by anabolic steroids to enhance athletic performance. Gynecomastia caused by anabolic steroids is the second most common cause.
  • Medications like Finasteride for enlarged prostate/prostate cancer or hair loss, to name a few.
  • Medical conditions like tumors in the adrenal glands or testicles, liver disease, or hypogonadism, to name a few.

Gynecomastia Diagnosis Graphic

How is Gynecomastia Diagnosed?

The diagnosis of Gynecomastia is based on physical examination, physical symptoms, medical history, and medication review.

Gynecomastia symptoms include breast(s) that may be painful with tenderness and often have a disc shape rubbery tissue that can be easily felt. This tissue is located directly underneath the nipple and mobile within the breast tissue.

Your physician will evaluate your medical history to determine the cause of the Gynecomastia. He will review your supplements, medications, and herbal products. Your doctor will also review your medical history and order the appropriate blood tests to determine if other diseases or medical conditions are the cause of your Gynecomastia.

There are a variety of breast imaging tests that may be used, a mammogram or breast ultrasound to evaluate male breast tissue. These tests are usually ordered to evaluate breast cancer. Your physician may order a blood test like a hormone panel to check for any hormonal changes.

Gynecomastia Treatment liposuction phase

What Is The Treatment for Gynecomastia Breast Tissue?

Treatment for enlarged breasts in men is recommended when there is breast tenderness and discomfort or an aesthetic or cosmetic issue. If a medical illness is causing Gynecomastia, a prescribed medication may need to be given. Gynecomastia usually affects both breasts but can affect one or both breasts.

At times, medicine is the cause, and your physician may advise stopping the drug and changing to another. Your doctor may advise going to an endocrinologist( a physician who specializes in hormone-related issues).

Surgery is recommended for patients with severe pain and tenderness or embarrassment. Male breast reduction surgery or gynecomastia surgery is the surgical treatment of choice for breast tissue removal.

Counseling may be needed for men and boys who find it hard to cope with this medical condition. Gynecomastia can be embarrassing, resulting in shame and avoidance of social situations requiring a bare chest( swimming, public shower, locker room, etc.). This can cause a tremendous amount of stress and depression. Discussing this situation with a professional may be helpful.

Other conditions may look like Gynecomastia but are not true Gynecomastia. A few of the most common are listed below.

  • Male breast cancer. Cancer of the breast in men is uncommon and occurs in less than 1% of men. It usually affects one breast. The breast is usually no breast pain, and a firm lump may be present which feels attached to the surrounding tissue. The overlying skin may appear indented or dimpled and possible nipple discharge. The lymph nodes may be enlarged.
  • Fatty breast tissue or pseudogynecomastia. This is common in overweight men. It is due to fat accumulation in the chest. Gynecomastia is due to breast gland development and not fat.

Male breast reduction surgery is the definitive treatment for gynecomastia. It removes the breast glands permanently.

 

FAQ’s

Can Gynecomastia Go Away on its Own?

In medical terms, gynecomastia refers to enlarged breasts in men. Teenagers going through the puberty process are likely to experience this condition.

Generally speaking, it will disappear on its own by the age of 21 for most young males, and most often two years after it first develops.

Gynecomastia rarely goes away by itself in adult males, no matter how hard they work, how much they exercise, and how much they diet.

Gynecomastia is primarily caused by hormonal imbalance, steroids, marijuana use, and certain prescription medications. One or both breasts may be affected by gynecomastia, and the condition can be uneven. Gynecomastia is a condition that leaves adult men feeling helpless about their condition.

Gynecomastia is curable. In the majority of cases, enlarged breasts in adolescent boys will disappear once they reach adulthood. Exercise and weight loss may be helpful for men with fatty gynecomastia. Typically, gynecomastia is caused by an excess of fibrous breast tissue that cannot be removed by DIY methods.

With male breast reduction surgery, this form of gynecomastia will be removed permanently and completely. A board-certified plastic surgeon with extensive experience in treating gynecomastia should be sought for gynecomastia surgery. Surgery performed by an unqualified surgeon is often associated with high rates of dissatisfaction. Usually, they rely solely on liposuction. Breast tissue will not be removed with this technique.

 

How Do You Differentiate Between Gynecomastia and Male Breast Cancer?

Among the most important characteristics that differentiate a male with breast cancer from a male with gynecomastia is symmetry. In men with gynecomastia, for example, both breasts are nearly always swollen. In contrast, men who have breast cancer usually find a lump or swelling only in one breast. Also, breast malignancy may show skin changes like skin dimpling or contraction.

What is The Best Treatment for Gynecomastia?

The following are two options to treat gynecomastia with surgery:

  • Surgical liposuction. In this surgical procedure, fatty tissue is removed from the breast but not the glandular tissue. This is best used for psueudogynecomastia which is gynecomastia due to excessive fat deposits.
  • The procedure of mastectomy. The enlarged breast tissue is removed in this procedure. In many cases, only small incisions are needed for the surgery. There is a shorter recovery period following this less invasive type of surgery.

How Can I Reduce Gynecomastia?

To treat gynecomastia effectively for an immediate and permanent solution to the problem of excess breast tissue and fat gynecomastia surgery or male breast reduction surgery is the solution.

These are some of the more popular methods to reduce gynecomastia:

  • Weight loss.
  • Exercise and dieting are essential.
  • Avoiding the use of steroids or drugs.
  • Taking steps to reduce alcohol consumption.
  • Receiving hormone treatments.
Does Smoking Weed Cause Gynecomastia?

Does Smoking Weed Cause Gynecomastia?

Does Cannabis cause gynecomastia? The simple answer is not 100% conclusively, but there is a very strong connection.

does cannabis cause gynecomastia

A man holding a cannabis joint in San Francisco

In simple terms, gynecomastia is the enlargement of male breast tissue and often referred to as man-boobs or moobs for short. Male breast enlargement occurs due to an imbalance in the hormone levels of testosterone and estrogen. When the male hormone testosterone ratio decreases compared to that of the predominantly female hormone estrogen, then the body signals for creating excessive breast tissue in males. 

What is the Active Ingredient in Cannabis?

The active ingredient in cannabis, tetrahydrocannabinol (THC), has been shown to reduce the level of testosterone in animal studies. The fall in testosterone is due to the effect of this THC in lowering the serum testosterone levels. THC can alter neural transmitters of the hypothalamus or that of CNS neural transmitters. Therefore, there is a reduction in testosterone produced by the testis’ Leydig cells (Harclerode, 1984).

Scientific Articles Investigating, Does Cannabis cause Man-boobs?

Although animal studies have shown an association, studies in humans have not conclusively demonstrated that Pot causes gynecomastia. A clinical study conducted on U.S. army soldiers found no significant difference between cannabis users and controls (Cates & Pope, 1977). 

In another human study, 1215 healthy men Dutchmen between the ages of 18 and 28 were evaluated for Pot induced gynecomastia between 2008 to 2012. The study showed that regular marijuana users had a reduced sperm concentration by 52%, and total sperm count by 55% (Gundersen, et al, 2015). 

Cuhaci et al. (2014) has shown that cannabis use can lead to the development of male breast tissue or gynecomastia; however, the mechanism by which it happens is not very clear. Nordt & DiVasta (2008) have shown that it is essential to inquire if they have a history of illegal drug usage when examining adolescents with gynecomastia.

Clinical Observation by Man-boobs Specialist

Dr. Steven Goldman, a plastic surgeon, has claimed that boys who are regular users of cannabis in their formative years, had a higher probability of developing man boobs later in life (Huffpost, Jan 2014). The transient effect of breast enlargement, which is seen in some boys reaching puberty, can become permanent due to pot use as their testosterone levels are altered by marijuana. Cannabis interferes with the healthy development in teen males, and it can lead to excessive breast tissue even after puberty than others who do not use it. Yet another plastic surgeon from Pennsylvania, Dr. Adrian Lo, who specializes in reducing male breast size, has stated that one-third of his male patients are frequent pot users (Huffpost, Jan 2014). Another gynecomastia specialist, Miguel Delgado, MD, has treated several thousand men with gynecomastia. He has observed a clear connection between Pot usage and gynecomastia. He states that it doesn’t affect all men, in the same way, and that the effect is dose-related or how much cannabis a person smokes. Also, when they start to smoke, rather it is during puberty or later in life.

With the state of Colorado legalized cannabis in 2012, there has been a boom in recreational marijuana. Legalization of Pot has led to an increase in the cases of male enlargement of breasts among 18-year-olds to 35 years olds. The number of plastic surgery cases has seen a jump by 8% in this state due to man-boobs (Grosman Capraro, 2019).  

Which States that have Legalized Pot?

The recreational use of Pot or cannabis is legal in 11 states in the United States. The States include Alaska, California, Colorado, Illinois, Maine, Massachusetts, Michigan, Nevada, Oregon, Vermont, and Washington. So, over time we will see what legalization of Pot has on the increase in gynecomastia cases.

Conclusion

Even though there is not 100% conclusive evidence, it is clear that there is a connection between Pot and man-boobs. We have present scientific articles and clinical observation by gynecomastia experts. We have also presented the spike is gynecomastia cases since Colorado legalized marijuana. More studies are needed, and with 11 States in the U.S. having legalized Pot, we will have more valuable information in the future.

References

Cates Jr, W., & Pope, J. N. (1977). Gynecomastia and cannabis smoking: a nonassociation among U.S. Army soldiers. The American Journal of Surgery134(5), 613-615.

Cuhaci, N., Polat, S. B., Evranos, B., Ersoy, R., & Cakir, B. (2014). Gynecomastia: clinical evaluation and management. Indian journal of endocrinology and metabolism18(2), 150.

Gundersen, T. D., Jørgensen, N., Andersson, A. M., Bang, A. K., Nordkap, L., Skakkebæk, N. E., … & Jensen, T. K. (2015). Association between use of marijuana and male reproductive hormones and semen quality: a study among 1,215 healthy young men. American journal of epidemiology182(6), 473-481.

(Grosman Capraro Plastic Surgery, 2019)https://www.grossmancapraroplasticsurgery.com/blog/can-smoking-weed-give-you-man-boobs

Harclerode, J. (1984). Endocrine effects of marijuana in the male: preclinical studies. NIDA Res. Monogr44, 46-64.

Huffpost (Jan 2014) retrieved from https://www.huffpost.com/entry/marijuana-man-boobs_n_4392617

Nordt, C. A., & DiVasta, A. D. (2008). Gynecomastia in adolescents. Current opinion in pediatrics20(4), 375-382.

 

Fake Gynecomastia (Fake Enlarged Male Breasts)

Fake Gynecomastia (Fake Enlarged Male Breasts)

Fake Gynecomastia

Men are creatures of vanity too. So when their chest looks flabby due to excess fat, more often than not, they resort to the Internet for answers. But beware for the search result could be misleading, albeit unintentionally.

Gynecomastia could be a potential cause but bear in mind, it is not so for all cases. Sometimes it is more likely to be “pseudogynecomastia” – a condition brought on by excess fat.

Gynecomastia Causes

Gynecomastia is mainly caused by hormonal imbalance, which is the result of excess estrogen being produced. Changes surrounding sexual development in teenage boys and health issues such as thyroid problems common among men in their 50s and above are some of the causes of this hormonal imbalance. The side effects of some medications are also potential causes.

There are 4 grades when it comes to classifying gynecomastia. The mildest being a local swelling around the nipple area while the most severe is in the form of a rounded appearance akin to the features of a female breast.

Pseudogynecomastia Causes

In men, the fat tends to accumulate in the chest and abdomen areas. Fat amassed around the chest area usually results in a puffy or swollen appearance clinically known as lipomastia, adipomastia, or pseudogynecomastia.

When the body produces excess estrogen, the more the likelihood that excess fat will be stored. Fat also causes the body to produce the aromatase enzyme. This enzyme converts testosterone into estrogen and is responsible for slowing down metabolism, which slows down the body’s ability to burn fat – you will lose fat but in a lesser amount. If not addressed, this can lead to more fat being stored, causing an imbalance to the body’s hormone level.

Although it may appear like gynecomastia – pseudogynecomastia is actually the accumulation of excess breast fat. Nonetheless, the term “pseudo” should not be waved off lightly as the condition is a real problem for men.

On the surface, both conditions seem alike in terms of appearance. Gynecomastia, however, is caused by the overdevelopment of glandular tissues. Pseudogynecomastia, on the other hand, is the result of only excess fat accumulated around the chest area.

There are simple self-check methods that one can carry out. For example, if you feel the presence of a firm mound of glandular tissue around the areola area, which is painful to the touch, then chances are you might have gynecomastia. In the case of pseudogynecomastia, the entire chest area is evenly enlarged.

Commonly, an individual can have both gynecomastia and pseudogynecomastia.

Treatment for pseudogynecomastia

A fat and weight loss program involving specific exercises and a change in dietary habits may help reduce or relieve pseudogynecomastia to a certain extent. However, to completely eradicate this issue is via clinically proven fat reduction procedure such as VASER Liposuction, which effectively addresses the issue and removes excess fat in the problematic area.

It is important to note that only a doctor via a clinical assessment is able to confirm the condition. Not all doctors can diagnose if a patient may or may not have gynecomastia. It is important to look for a doctor with experience in handling gynecomastia cases to identify.