Teenage Gynecomastia: What Every Parent Should Know

Teenage Gynecomastia: What Every Parent Should Know

Teenage gynecomastia, the enlargement of breast tissue in adolescents, affects over half of boys during puberty. While often temporary, it can cause discomfort and self-consciousness. This article covers its causes, symptoms, and how to manage it, helping you understand and address this common issue.

Key Takeaways

  • Gynecomastia is a common condition that affects 50–60% of adolescent boys. It is typically temporary but can persist and cause discomfort if not addressed.
  • Hormonal imbalances, particularly elevated estrogen levels relative to testosterone, are the primary contributors to gynecomastia during puberty, with weight management playing a significant role.
  • Treatment options range from non-surgical methods, such as emotional support and medications, to surgical intervention for persistent cases, emphasizing the importance of a tailored approach for each individual.
Gynecomastia in Adolescent Males

Diagram of normal male breast tissue and one with gynecomastia

Understanding Gynecomastia in Adolescent Males

A benign condition known as gynecomastia can cause males to develop breast tissue similar to female breast tissue during adolescence, causing an evident increase in breast size. This pubertal phenomenon affects approximately half or more of boys during their teenage years. It initiates around age 10 and peaks at ages 13 to 14. Gynecomastia aligns with the Tanner stages, reflecting different levels of maturation during puberty.

As boys navigate through puberty and experience various bodily changes, such as growing pubic hair and other secondary sexual characteristics, many will also encounter this temporary enlargement of male breast tissue. The majority will notice that symptoms have subsided by the time they reach age 17 due to hormonal balances achieved after puberty.

Yet, for some individuals, what is termed persistent pubertal gynecomastia occurs when there’s no natural resolution within the expected period, leading potentially to prolonged discomfort and issues with self-esteem. Persistent breast enlargement in such cases may require surgical intervention, especially if associated with pain or significant psychosocial issues. Hence, identifying whether the condition is transient or lasting becomes vital because enduring cases might require medical attention for symptom relief and improved life quality.

The clinical features associated with gynecomastia include soft glandular tissue beneath the nipple-areolar complex, which can be felt upon examination. This mobile tender mass may range from mild palpable breast material, contributing insignificantly, to severe cases where substantial psychosocial distress ensues from pronounced chest protrusions. These scenarios indicate that immediate healthcare evaluation should be conducted for potential treatment options.

Definition and Prevalence

Gynecomastia is a condition characterized by the enlargement of breast tissue in males. It can occur at any age but is most common during puberty. The prevalence of gynecomastia varies widely, ranging from 4–69% of palpable breast tissue in adolescent males. According to a study, up to 70% of males in early to mid-puberty experience gynecomastia due to normal hormonal changes. In adult males, the prevalence of gynecomastia is estimated to be around 65%.

Causes and Hormonal Imbalances in Breast Tissue

Hormonal Imbalances in Breast Tissue graph

Chart showing hormone imbalance during puberty.

Hormonal fluctuations, especially the imbalance of estrogen and androgen levels, are closely associated with gynecomastia. When hormone levels shift during puberty, there can be an overabundance of estrogen compared to testosterone, which promotes the growth of breast tissue. This process may lead to severe gynecomastia.

Inherited disorders, such as Klinefelter syndrome, have been identified as contributors to hormonal imbalances that result in gynecomastia. A history of persistent gynecomastia within families suggests a genetic factor might play a role in its development. Conditions leading to elevated estrogen or diminished testosterone production—such instances include primary or secondary hypogonadism—are instrumental factors influencing the emergence of this condition. Laboratory tests may be ordered to measure serum testosterone and two pituitary hormones, including luteinizing hormone and follicle-stimulating hormone, as part of assessing the causes of gynecomastia.

Understanding that natural hormonal changes, along with inherited issues, often underpin cases of gynecomastia during puberty is crucial for effective interventions. Recognizing and comprehending the hormonal basis underlying this disorder underscores its complexity and the imperative need for specifically tailored treatment approaches.

Various factors can cause Gynecomastia, including hormonal imbalances, certain medications, and genetic conditions. An imbalance in estrogen to androgens tissue levels is postulated as a major cause of gynecomastia. Secondary causes of gynecomastia in adolescents are relatively uncommon, accounting for less than 5% of cases. These can include conditions like congenital anorchia, Klinefelter’s syndrome, testicular feminization, hermaphroditism, adrenal carcinoma, chronic liver disease, primary hypogonadism, secondary hypogonadism, testicular tumors, hyperthyroidism, renal disease, and malnutrition. Certain medications, such as spironolactone, ketoconazole, and cimetidine, can also cause gynecomastia.

Symptoms and Diagnosis of Breast Pain

Adolescent gynecomastia, also called pubertal gynecomastia, often manifests with distinguishable symptoms that are straightforward to detect. Typical indications consist of mild discomfort or sensitivity in the chest region, heightened sensation in the nipples, and a palpable lump below one or both nipples. Treatments like tamoxifen can address symptoms like pain and breast enlargement, providing relief and reducing the size of breast tissue. This mass is usually pliable, movable, and sensitive around the nipple-areolar complex.

In diagnosing adolescent gynecomastia, healthcare professionals require extensive physical examination. During this evaluation, they will scrutinize the dense breast tissue for its distinct attributes and search for any indicators that may point to underlying diseases. Given that gynecomastia might develop in one or both breasts, it underscores why a bilateral assessment is critical.

To differentiate between conditions like breast cancer and other potential issues from adolescent gynecomastia, diagnostic imaging, such as mammograms, could be employed alongside blood tests, which analyze hormone concentrations including testosterone, estradiol, and prolactin. For mild occurrences, handling typically involves monitoring coupled assurances, especially when a spontaneous resolution of the condition is anticipated.

Classification of Gynecomastia

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.

Gynecomastia can be divided into two types: prepubertal and non-pubertal. Pubertal gynecomastia is a common condition that affects up to 70% of boys during puberty. It typically resolves on its own within one to three years for 75–90% of adolescents. Non-pubertal gynecomastia is less common and can be caused by hormonal imbalances, certain medications, and genetic conditions.

Impact of Weight on Gynecomastia

The amount of body fat or adipose tissue and weight substantially influence the presence of excessive body fat in males. Excessive fatty tissue can lead to heightened estrogen levels, which can lead to obesity in the breast. Obesity typically increases estrogen, which stimulates testosterone to become more dominant. Thus, a strengthening loop begins, where increased body fat accentuates the symptoms associated with gynecomastia, highlighting the importance of effective weight management as part of the treatment plan.

By shedding excess weight, one may see an enhancement in testosterone levels that work against estrogen’s influences. Nevertheless, even persistent efforts at losing weight might not be sufficient to remove all symptoms related to gynecomastia if residual glandular tissue is present. While reducing one’s weight can significantly mitigate symptom intensity, it does not guarantee total resolution, particularly when there is substantial glandular involvement.

Adhering to a nutritious diet and consistently engaging in physical exercise are beneficial actions toward managing and potentially lessening the severity of gynecomastia symptoms. Targeting a healthy BMI enables individuals to curb hormonal imbalances effectively while fostering enhanced general health conditions. Recognizing how closely linked factors like body weight and instances or exacerbation rates concerning this condition prove vital when formulating efficient interventions aimed at sustainable amelioration.

Non-surgical Treatments

A variety of non-surgical interventions exist to address the symptoms of gynecomastia and enhance one’s quality of life. These measures encompass not only emotional support and the use of specialty garments like compression tops but also certain pharmaceutical treatments. The psychological toll that pubertal gynecomastia can take on adolescents underscores the importance of providing them with adequate emotional care during management.

Compression Garments

Compression shirts can significantly improve body image by producing a more contoured chest profile, which could bolster a teenager’s self-esteem. These strategies are most beneficial when integrated within an overall regimen that includes physical measures like clothing adaptations, psychosocial support, and adherence to healthy lifestyle habits. Prompt attention, along with an all-encompassing strategy, is essential in managing gynecomastia effectively while diminishing its potential adverse effects on affected individuals’ lives.

Lifestyle Changes & Self-Care

When addressing teenage gynecomastia, lifestyle changes and self-care practices can significantly manage symptoms and enhance overall well-being. A balanced diet and regular exercise are fundamental components that can help reduce body fat and potentially alleviate the appearance of gynecomastia. Physical activities like aerobic exercise and strength training can stimulate testosterone production while reducing estrogen levels, promoting a healthier hormonal balance.

Adopting a nutritious diet rich in lean proteins, whole grains, fruits, and vegetables can further support hormonal regulation and weight management. Avoiding processed foods and those high in sugar and unhealthy fats can prevent weight gain, which could exacerbate fatty breasts. Additionally, staying hydrated and maintaining a consistent sleep schedule are crucial for overall health and hormonal stability.

Beyond physical adjustments, addressing emotional and psychological aspects is equally important. Building a strong support network of family and friends can provide comfort and encouragement during this challenging time. Seeking guidance from mental health professionals can also offer strategies to cope with any self-esteem or body image issues that may arise due to severe gynecomastia.

Incorporating mindfulness practices, such as meditation or yoga, can help manage stress and improve mental resilience. These activities promote relaxation and can reduce anxiety, contributing to a more positive outlook on life. By integrating these lifestyle changes and self-care practices, adolescents can better navigate the challenges posed by gynecomastia and improve their quality of life.

Pharmacological Treatment Options

In cases where gynecomastia is persistent and leads to discomfort or feelings of self-consciousness, medical professionals may recommend anti-estrogen drugs. The treatment of pubertal gynecomastia often involves medications like tamoxifen and raloxifene, which have shown efficacy and safety in clinical trials. Tamoxifen, known for its selective estrogen receptor modulating capabilities, has proven effective in resolving roughly 80% of instances among recent and tender occurrences. Therapeutic administration of androgens may be utilized to counterbalance the influence of estrogen on breast tissue development.

Individuals suffering from enduring symptoms of gynecomastia may find relief through pharmaceutical interventions. Various medications, including tamoxifen, clomiphene, raloxifene, danazol, anastrozole, and testolactone, have been administered with different results. Gynecomastia is particularly prevalent among prostate cancer patients, as prostate cancer treatment, especially hormonal therapies like antiandrogens, can lead to this condition. Among these options, its proven safety record distinguishes tamoxifen and minimal adverse effects.

Such drugs operate either by obstructing the receptors for estrogen or impeding the synthesis of this hormone to curb breast tissue proliferation. Prompt intervention can alleviate associated emotional and psychological distress in patients with gynecomastia, significantly enhancing life quality. Although drug therapy can be beneficial in managing symptoms, it typically yields better outcomes when applied swiftly in instances involving slight to moderate breast enlargement.

Subsequent sections will provide a more comprehensive exploration of two principal pharmacological strategies: using agents that block estrogen and those based on enhancing male hormones (androgens). By addressing hormonal imbalances at the core of gynecomastia development, these treatments present focused remedies aimed at effectively controlling the condition’s manifestation.

Estrogen Blockers

Selective estrogen receptor modulators (SERMs), such as tamoxifen, are integral in addressing gynecomastia by impeding estrogen’s impact on breast tissue. By attaching to and occupying the estrogen receptor, tamoxifen disrupts estrogen’s growth-stimulating influence, thus curtailing breast tissue expansion.

Although these medications prove beneficial, they can lead to side effects like erectile dysfunction, diminished sperm count, testicular shrinkage, and nausea. Due to its effectiveness in shrinking breast size, with a relatively low rate of serious complications associated with its use. Tamoxifen therapy is considered fundamental in managing gynecomastia.

Research indicates that treating gynecomastia with tamoxifen shows promise, although more extensive randomized controlled studies are required for confirmation. Estrogen blockers have significant potential for adolescents dealing with enlarged breast tissue, as they counteract both excessive production and activity of estrogen, effectively improving symptoms related to this condition.

Androgen Therapy

Androgen therapy focuses on reestablishing hormonal equilibrium by elevating testosterone levels to neutralize the impact of surplus estrogen in adolescent boys. This treatment is particularly advantageous during puberty, when shifts in hormone levels may cause a discrepancy between estrogens and androgens, potentially leading to gynecomastia.

To effectively manage gynecomastia attributed to hormonal imbalance, common methods include administering testosterone through injections or applying topical gels. Despite their effectiveness, these treatments carry possible adverse reactions, such as acne, mood alterations, and heightened health hazards, that require vigilant supervision by medical professionals.

By targeting the underlying issue of hormone irregularities, androgen therapy offers substantial relief for young individuals suffering from gynecomastia. Such therapeutic strategies highlight the necessity for individualized care plans tailored to each person’s specific hormonal profile. A board-certified endocrinologist oversees these treatments.

Surgical Solutions for Persistent Pubertal Gynecomastia

In some adolescents, the continuous enlargement of breast tissue coupled with severe emotional distress may warrant surgical treatment. The primary reasons for such a procedure include ongoing gynecomastia despite monitoring, breast pain, or profound psychological impact. Persistent breast enlargement after a period of observation is also a key criterion for considering surgical treatment. Surgical correction is frequently pursued for aesthetic purposes to reinstate the typical contours of the breasts and relieve mental anguish.

The most effective approach to alleviating symptoms associated with significant glandular tissue when non-surgical methods fall short is through gynecomastia surgery. Subcutaneous mastectomy is the prevalent technique in surgically correcting this condition by precisely excising surplus breast tissue.

Customizing surgical intervention based on individual severity levels of gynecomastia and general health conditions remains crucial. When the condition persists beyond two to three years, optimal treatment becomes preferred, offering enduring outcomes that significantly enhance quality of life.

Surgical Techniques

Gynecomastia surgery aims to reduce breast enlargement by removing glandular tissue, resulting in a more contoured chest. The choice of surgical technique largely depends on the severity of the condition. Liposuction-assisted mastectomy, which combines liposuction with the surgical removal of breast tissue, is often favored for patients experiencing mild to moderate gynecomastia.

For those with a more pronounced form of the condition, methods that combine resecting breast tissue and liposuction yield better results. A newer option, known as the “pull through” technique, specifically addresses grade 1 and some cases of grade 2 gynecomastia using a small incision that minimizes scarring.

The most advanced stages of gynecomastia—grades 3 and 4—are typically treated with double incision mastectomy due to its effectiveness in these situations. All surgical techniques aim to effectively remove excess tissue while ensuring aesthetically pleasing outcomes tailored to meet the unique needs of each patient.

Post-surgical Recovery

The post-operative phase is a significant component in the management of gynecomastia. Recovery duration can differ, with methods like liposuction-assisted mastectomy that typically result in shorter recovery times compared to more invasive surgeries like skin excision that require a longer healing period.

Recovery from gynecomastia surgery takes between 4 and 6 weeks, though this time frame may fluctuate based on individual circumstances. Patients are advised to wear compression garments for at least 4 to 6 weeks during recuperation. These garments reduce swelling and support recovering tissues to ensure the best possible surgical outcomes.

Adherence to Dr. Delgado’s aftercare instructions is imperative for ensuring a seamless recovery process. These instructions involve managing discomfort through prescribed pain medications, refraining from intense physical activity, and attending scheduled follow-up consultations for progress assessment. By diligently following these guidelines, most teenagers who undergo this treatment can experience significant improvements in both their physical appearance and psychological well-being.

Psychological and Emotional Support

The profound psychological and emotional toll of gynecomastia on adolescent males is immense. These young men may suffer from considerable shame and mental strain, which can significantly disrupt their overall sense of well-being and capacity to engage socially. The presence of even slight manifestations of gynecomastia can be the source of intense psychological discomfort, underscoring the need for prompt attention to these issues.

Adolescent boys grappling with this condition often encounter a drop in self-confidence, as well as difficulties in social settings. An obsession with body image and dietary habits might develop, regardless of whether they exhibit symptoms typical of recognized eating disorders. Offering emotional support becomes essential to helping them manage these hurdles effectively. Parents play an instrumental role by being attentive listeners and providing steadfast encouragement, especially when their sons feel embarrassed or humiliated.

In certain instances where significant distress is linked to the condition, pharmacological options could help mitigate the stress experienced by these individuals. Yet, a multifaceted strategy—encompassing supportive dialogue, therapeutic guidance, and potential medical intervention—frequently proves most beneficial in resolving both physical signs and psychological burdens associated with gynecomastia. Such comprehensive care is pivotal for adolescents striving towards enriched life satisfaction and enhanced mental wellness.

Patient Education and Support for Teens with Gynecomastia

Teenage gynecomastia can be a challenging experience, significantly impacting a young person’s self-esteem and body image. Educating patients and their families about this condition is crucial in alleviating anxiety and promoting understanding. Comprehensive education should encompass the nature of gynecomastia and its causes, symptoms, and potential treatment options.

Healthcare providers play a pivotal role in patient education by offering clear, age-appropriate explanations about the hormonal changes that lead to breast tissue enlargement. They should reassure teens that gynecomastia is a common, often temporary condition and emphasize that most cases resolve without intervention. Providing information on the expected course of gynecomastia and the importance of monitoring changes can help reduce unnecessary worry.

Support groups and counseling services can be beneficial, offering teens a platform to share their experiences and feelings with peers facing similar challenges. This communal support can foster a sense of belonging and reduce feelings of isolation. Mental health professionals can also help address any psychological effects, such as anxiety or depression, that may arise due to body image concerns.

It is essential to encourage open communication between teens and their families. Parents should be informed about the condition and its implications to provide empathetic support and guidance. They can help their children navigate the emotional aspects of gynecomastia by fostering a supportive home environment where discussions about body changes are normalized.

Incorporating educational resources, such as brochures, videos, or online content, can further enhance understanding and accessibility of information. These resources should be tailored to the adolescent audience and use relatable language and visuals to engage them effectively.

By prioritizing patient education and support, healthcare providers can empower teens with gynecomastia to manage their condition with confidence, promoting a holistic approach to their well-being.

A few helpful forums are gynecomastia.org and Reddit.

Consult in Person or Virtually With Dr. Delgado

Dr. Delgado with a patient

Dr. Delgado consults a gynecomastia patient.

Dr. Delgado is a renowned expert in gynecomastia treatment. He offers both in-person and virtual consultations to provide personalized care for adolescents with this condition. His approach is comprehensive, focusing on understanding each patient’s unique needs and tailoring treatment plans that address both the physical and psychological aspects of gynecomastia. With a wealth of experience in surgical and non-surgical interventions, Dr. Delgado ensures that every individual receives the most effective and compassionate care possible.

Diplomate

DELGADO JR., MIGUEL ANGEL

450 Sutter Street, Suite 2433
San Francisco, CA 94108

165 Rowland Way, Suite 300
Novato, CA 94945

(415) 898-4161

Certification

Status

CERTIFIED
Continuous Certification in

Plastic Surgery History

Initial Certification 11/09/1990 – Valid indefinitely
Continuous Certification Participation

Summary

In essence, dealing with gynecomastia in teenagers requires an intricate understanding of the reasons behind it, its manifestations, and available treatment methods. This condition is prevalent among adolescents and can be attributed to hormonal fluctuations typical during puberty. Though many instances may subside on their own over time, there are cases where breast enlargement persists, leading to substantial physical discomfort and psychological strain.

A variety of therapeutic interventions exist for this condition, from supportive measures like emotional reassurance and wearing compression garments to medical treatments like tamoxifen or hormone therapy. For those suffering from ongoing breast enlargement, surgical options like subcutaneous mastectomy are reliable choices offering significant improvements. Ensuring a smooth post-operative recovery alongside psychological support is vital for optimal results and long-term contentment.

The cornerstone of effectively handling gynecomastia is prompt detection, tailoring treatment strategies individually, and providing robust support. With these components in place, affected adolescents have the potential to overcome difficulties associated with gynecomastia and confidently lead wholesome lives.

It is important to consult a healthcare professional for appropriate treatment options.

Frequently Asked Questions

What does stage 1 gynecomastia look like?

Stage 1 gynecomastia is characterized by a slight or mild enlargement of the breast glands without excess skin, which is also called “puffy nipples.”

Is it normal for a 15-year-old boy to have gynecomastia?

Yes, it is normal for a 15-year-old boy to experience gynecomastia, as around half of males between 12 and 16 will encounter it. Typically, this condition resolves itself within two years without medical treatment.

What type of specialist may teenagers be referred to for gynecomastia evaluation?

Teenagers may be referred to an endocrinologist to evaluate gynecomastia. Endocrinologists specialize in hormone-related conditions, ensuring a comprehensive assessment of any underlying hormonal imbalances.

What are some common symptoms of gynecomastia in teenagers?

Gynecomastia in teenagers commonly presents as slight soreness or tenderness in the chest area, increased nipple sensitivity, and the presence of a small lump beneath one or both nipples. Recognizing these symptoms is important for seeking appropriate guidance.

Are there FDA-approved medications specifically for treating gynecomastia?

There are no FDA-approved medications specifically for treating gynecomastia; any medications used are currently off-label.

Managing Gynecomastia Through Lifestyle Changes and Exercise

Managing Gynecomastia Through Lifestyle Changes and Exercise

Gynecomastia is a condition where male breast tissue becomes enlarged, causing the appearance of male breasts. Enlarged breast tissue can be extremely embarrassing for men, especially in social situations like the beach or pool. If you’re experiencing mental distress because of gynecomastia or are considering gynecomastia surgery, you’re not alone. Although many men opt for gynecomastia surgery (or male breast reduction surgery) as a way to manage and remove excess breast tissue, lifestyle modifications for gynecomastia can also be an ideal solution. However, knowing more about gynecomastia and the specific changes that can produce noticeable results is key. Here’s what to know about managing gynecomastia symptoms and how an experienced plastic surgeon such as Dr. Miguel Delgado can help you explore your treatment options.

Healthy Diet Recommendations

Gynecomastia is often tied to a variety of health factors like diet and hormones. In fact, eating a balanced diet can have many different health benefits, including treating gynecomastia. It can be helpful to consider switching to a gynecomastia diet to maintain the results of your procedure or help reduce symptoms. As with any dietary changes, however, make changes slowly and don’t try to overhaul your diet all at once. Adjust the following accordingly:

Reduce Estrogenic Foods

Certain foods have higher levels of estrogen-rich compounds which can contribute to male breast development through misbalancing hormone levels. These tend to include foods rich in soy (such as soy milk), saturated fats, and flaxseeds. Instead, incorporate more lean proteins, fruits, vegetables, and whole grains into your nutritious diet. Additionally, processed foods are notorious for containing high levels of estrogen-rich compounds, so try to enjoy these in moderation.

Increase Fiber

Fiber is key for digestion and also plays a role in hormonal imbalances (one of the common causes of gynecomastia). Try to find sources of fiber that you enjoy and can incorporate daily. Good sources of fiber include whole grains, legumes, and leafy greens, as well as certain fruits and vegetables.

Exercise Recommendations

Exercise is key when it comes to gynecomastia because it can help reduce body fat and the appearance of male breast development. Focus especially on toning the chest muscles and incorporate exercises that bring you to a healthy weight, if you’re not already. Keep in mind that body changes can occur slowly when it comes to exercise, so consistency is key. Whether or not you already exercise regularly, consider the following changes to your schedule:

Cardiovascular Exercises

Cardio exercises are designed to increase your cardiovascular health as well as burn excess fat as energy. Some of the most effective cardiovascular exercises for losing weight include swimming, running, or cycling. It’s recommended to get at least 150 minutes of cardiovascular exercise of moderate intensity per week, or at least 20 minutes per day.

Chest Exercises

An important accompaniment to any exercise regimen is weight training. Focus on exercises that target the chest muscles to increase muscle mass and reduce fat. These exercises include push-ups, chest presses, and dumbbell flys. Make sure to incorporate good sources of protein into your diet to support muscle growth.

Lifestyle Changes for Gynecomastia

Gynecomastia may be tied to health changes, but there are a variety of causes including lifestyle factors. In fact, other lifestyle changes can help reduce the appearance of gynecomastia and glandular tissue. These include:

Weight Management

If your gynecomastia is related to fat, then it may be helpful to lose weight. Make sure to focus on a healthy lifestyle and sustainable changes to your diet and exercise regimen. By losing fat tissue, you may also reduce hormonal fluctuations that can contribute to breast development. With a little long-term dedication, you can achieve more average breasts and better confidence – and prevent weight gain that may cause male breast enlargement to come back.

Clothing and Outfits

Your choice of clothing can exaggerate the appearance of gynecomastia, meaning taking stock of your wardrobe can help. Look for well-fitting clothing and consider having your wardrobe tailored to minimize the appearance of breasts. Additionally, look for shirts with thicker fabrics, layers, or patterns to better conceal your chest and create a more masculine chest contour.

Medications and Drugs

Certain medications can produce enlarged breasts (sometimes by affecting estrogen levels) meaning that switching medications can sometimes produce results. Make sure to consult your physician before making any changes. Secondly, illicit drugs can also produce gynecomastia symptoms – as can alcohol consumption. Stopping these lifestyle choices can often treat gynecomastia without the need for surgery.

Underlying Health Conditions

There may be an underlying cause that is unknown to you, meaning treating underlying health conditions can sometimes produce results. Hormone imbalance may cause excess estrogen and thus enlarged breast gland tissue, meaning you may be able to resolve gynecomastia through hormone therapy. Testing your testosterone levels and whether it may be playing a role in developing gynecomastia can be a good first step in your treatment plan.

Schedule a Consultation

There are many causes of gynecomastia and a board-certified plastic surgeon is often the best place to start. During a consultation, you can discuss your many treatment options and learn more about the impact that gynecomastia has on many men. To meet with Dr. Delgado, San Francisco’s leading gynecomastia expert, contact us today through our online form.

Will Your “Man Boobs” Come Back After Gynecomastia Surgery?

Will Your “Man Boobs” Come Back After Gynecomastia Surgery?

The primary concern regarding gynecomastia surgery is often the longevity of the results. Patients want to know whether or not gynecomastia surgery will provide them with permanent relief from gynecomastia symptoms, such as excess male breast tissue. Fortunately, the results of gynecomastia surgery are permanent, and below, we’ll tell you exactly why.

What is Gynecomastia?

First, let’s begin by touching on gynecomastia. This condition causes excess male breast tissue, resulting in enlarged breasts, or “man boobs”. It is often caused by an imbalance in hormone levels, which often occurs during puberty. However, gynecomastia can affect males of any age.

The Gynecomastia Surgery Procedure

Unlike most body contouring procedures, which target stubborn fat, gynecomastia surgery is actually removing glandular tissue. When fat cells are removed, fat can easily reaccumulate if a patient doesn’t maintain healthy lifestyle habits. But the tissue that is removed will not grow back. The appearance of “man boobs” is caused by excess breast tissue in the chest, not the presence of fat cells. So, when this tissue is removed via gynecomastia surgery, it permanently removes it from the body, along with excess skin, and provides a long-lasting sculpted appearance.

After Your Gynecomastia Surgery

Keep in mind that the results from your gynecomastia surgery will largely be reliant on how you handle your recovery period and your lifestyle following treatment. While gynecomastia can permanently eliminate excess breast tissue, it cannot prevent the accumulation of fat in the chest and surrounding areas. You need to be aware that future weight gain may cause body fat accumulation in the chest where gynecomastia once affected you. Fortunately, as this is just fat-related weight gain, it can be more easily eliminated with diet and gynecomastia exercise when necessary.

Do I Need Gynecomastia Surgery?

The first step in determining if you need gynecomastia surgery is determining whether your symptoms are actually gynecomastia-related. If so, you’ve probably noticed that your chest remains unchanged despite diet and exercise habits. If you merely have stubborn fat in the chest, there may be other treatment options, including non-surgical ones, that will be more suitable than gynecomastia surgery. In cases where the appearance of man boobs is a result of gynecomastia and the buildup of fatty tissue and glandular tissue in the chest, gynecomastia surgery is often the best course of treatment to produce the desired chest contours.

Schedule a Consultation

Are you ready to treat your enlarged male breast tissue once and for all? If you are interested in learning more about male breast reduction surgery, please contact Dr. Delgado today. As a board-certified plastic surgeon, he is highly skilled in performing male breast reduction surgery on patients of all backgrounds to help improve their quality of life. Dr. Delgado has two convenient locations in Novato, CA, and San Francisco, CA.

 

What are the 7 Types of Gynecomastia?

What are the 7 Types of Gynecomastia?

Boys and males who suffer from enlarged male breasts often have a condition called gynecomastia. This condition is not life-threatening but can take a negative toll on the mental health of those living with it. Gynecomastia can actually be divided up into seven different types. Read on to learn more about these types and the best gynecomastia treatment option.

True Gynecomastia

True gynecomastia is caused by excess breast tissue and glandular tissue, causing large male breasts. This cannot be resolved with weight loss alone, and gynecomastia surgery is the only long-term solution.

Adult Gynecomastia

Adult gynecomastia usually affects men around the age of 50, because this is when “male menopause” begins, resulting in a decrease in testosterone production. In fact, one in four men will develop gynecomastia symptoms between the ages of 50 and 80. However, adult gynecomastia may also be the result of untreated adolescent gynecomastia.

Adolescent Gynecomastia

Adolescent gynecomastia affects teenagers due to a hormone imbalance caused by puberty. The most common symptoms include tenderness in the chest area, nipple soreness and sensitivity, a small lump beneath the nipple, and a puffy or shiny look to the nipple. If left untreated, this condition may follow patients into their adult years.

Medication-Induced Gynecomastia

In some cases, gynecomastia can be caused by certain prescription medications. The most common medications associated with gynecomastia include those for high blood pressure, ulcers, antidepressants, HIV, and prostate cancer. Illegal drugs that can lead to male breast growth include marijuana and heroin.

Steroid-Induced Gynecomastia

Gynecomastia can also be brought on by the use of anabolic steroids. This type is common among bodybuilders and athletes.

Severe Gynecomastia

Patients with severe gynecomastia will have severely large breasts and excess skin. Older men or those who are obese with diminished skin elasticity may experience this form of gynecomastia.

Pseudo-Gynecomastia

Pseudo-gynecomastia, or false gynecomastia, is the result of fatty tissue rather than glandular tissue and can often be resolved with weight loss.

Gynecomastia Treatment Options

The best way to treat gynecomastia is with male breast reduction surgery. During this surgical procedure, Dr. Delgado will remove excess glandular tissue, remove excess breast tissue, and eliminate excess fat with liposuction techniques for a more masculine chest contour. He will create a personalized treatment plan for you that includes the best incision patterns and liposuction technique to help you reach your body goals.

This is an outpatient procedure, which means that you can return home to heal. You will need to wear a special compression garment during healing to reduce swelling and support your new chest contour. Also, be sure to follow Dr. Delgado’s instructions regarding pain medication for proper healing.

Schedule a Consultation for Gynecomastia Surgery in San Francisco

If you are bothered by enlarged male breasts, please do not hesitate to contact board-certified plastic surgeon, Miguel Delgado, MD. To schedule a one-on-one consultation regarding the male breast reduction treatment, please contact our San Francisco office today by giving us a call or filling out our online form.

How to Emotionally Support Someone with Gynecomastia

How to Emotionally Support Someone with Gynecomastia

Gynecomastia is a condition that causes the abnormal enlargement of breast tissue in males. There are a variety of different triggers for gynecomastia, including hormonal imbalance, low testosterone, steroids, certain medications, and obesity. And while this condition is often seen as an aesthetic issue, is can actually have a psychological impact on men as well.

The Psychological Effects of Gynecomastia on Teens

While gynecomastia is physically harmless, it can have a profound impact on the mental and emotional health of boys and men. Adolescent boys are most commonly affected by this condition, which can make them self-conscious about their already-changing bodies, often causing them to isolate themselves from social situations.

Many boys with gynecomastia avoid group activities, tend to dress in baggy clothes to cover their breasts, or avoid situations in which their chest may be exposed such as swimming. If left untreated, this social anxiety can lead to other psychological issues such as clinical depression, emotional isolation, and stress eating.

The Psychological Effects of Gynecomastia on Men

Gynecomastia can also affect men psychologically as well. Because the cause is often hormonal imbalances or low testosterone levels in adult men, this may lead to intimacy issues. Many men with gynecomastia avoid dating and live with a deep fear of rejection or humiliation due to their gynecomastia. Men who suffered from untreated gynecomastia-based social anxiety as children will continue to deal with the effects as they age, which can sometimes lead to depression and other psychological disorders.

How to Support a Loved One with Gynecomastia

Thankfully, the internet nowadays provides many different avenues for men to learn more about their condition and the treatments available. There are also social groups online where men can chat about their gynecomastia symptoms. Gynecomastia awareness helps men and their loved ones to better understand this disorder, which is a vital step for their treatment. If you have a loved one who is living with gynecomastia, be ready to listen and be open to learning more about this condition. Also, if you and your loved one are discussing possible gynecomastia surgery, joining them on their visit to different surgeons can be great support.

Treatment Options for Gynecomastia

While some adolescent boys will notice that their gynecomastia will correct itself as their hormones stabilize, some boys will not “grow out” of their condition. Gynecomastia that is caused by hormonal imbalance can only be corrected with gynecomastia surgery to remove excess tissue. Board-certified plastic surgeon Dr. Delgado has been successfully treating patients with gynecomastia symptoms for over 30 years. He specializes in performing male breast reduction surgery and revision gynecomastia surgery procedures to help males feel confident in their bodies.

Schedule a Consultation in San Francisco

If you are interested in learning more about gynecomastia surgery and if you are a candidate, please contact Dr. Delgado today to schedule a consultation appointment.

You Don’t Have to Live with Man Boobs (Gynecomastia)

You Don’t Have to Live with Man Boobs (Gynecomastia)

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.