Medical Articles

Tamoxifen treatment for pubertal gynecomastia

By Derman O, Kanbur NO, Kutluk T.
Section of Adolescent Medicine, Department of Pediatrics,
Hacettepe University Faculty of Medicine, 06100 Ankara-Turkey.

We evaluated the efficacy of the tamoxifen treatment in 37 patients with pubertal gynecomastia. All had distinct, easily palpable breast swellings with a diameter of over three cm. Pain, tenderness, and swelling associated with gynecomastia were reported by six patients. Eight of the patients were obese. One patient also suffered from varicocele. Pain and size reduction was seen in all patients with tamoxifen treatment. No long-term side effects of tamoxifen were observed. The dose of tamoxifen was increased in three patients due to poor response. Two of the treatment group had recurrence problem at follow-up. We did not need to refer any patient to surgery. Tamoxifen treatment is relatively non-toxic, may be beneficial and we think it should be considered for pubertal gynecomastia.

Boomerang Gynecomastia Correction

Submitted by gyneadmin on Thu, 2015-03-05 12:38
Picture by Dennis J. Hurwitz, M.D.

The results of a study of 24 patients with one year follow-up were recently released. The patients were men who had severe gynecomastia and massive weight loss. The procedure they had was correction of their gynecomastia along with an upper body lift.

To achieve the most effective and aesthetically pleasing result, the surgeon used opposing excisions in the shape of a boomerang, thus the name "boomerang-pattern correction of gynecomastia."

All 24 cases showed satisfactory improvement except one patient was unhappy with nipple distortion after revision surgery.

The abstract by Dennis J. Hurwitz, M.D. of the University of Pittsburg, PA, is posted in the "Journal of the American Society of Plastic Surgeons" February 2015 issue.

Click here to view a video showing the markings, surgery and three days post op.


Plastic and Reconstructive Surgery of the Breast. Little, Brown, and Co. 1976. 305-327. Author : Robert M. Goldwyn.

Plastic and Reconstructive Surgery of the Breast. Ed. by R. Barrett Noone. Pub by B. C. Decker 1991. p. 98-116. 

Journal Articles:

Wassersug, Oliffe: The Social Context for Psychological Distress from Iatrogenic Gynecomastia with Suggestions for Its Management. Journal of Sexual Medicine. Oct 2009, vol 6(4). p. 989-1000.

Singer-Granick, Granick: Gynecomastia What the Surgeon Needs to Know, ePlasty, Vol 9.

Botta: Alternatives for the Surgical Correction of Severe Gynecomastia. Aesthetic Plastic Surgery. Jan/Feb 1998. p. 65-7.

Neuman: Evaluation and Treatment of Gynecomastia. American Family Physician. April 1997. p. 1835-1847.

Samdal, Kleppe, Amland, + Abyholm: Surgical Treatment of Gynecomastia: Five Years' Experience with Liposuction. Scandanavian Journal of Plastic and Reconstructive Hand Surgery. June 1994, p. 123-30.

Brenner, Berger, Schneider, Axmann: Male Reduction Mammoplasty in Serious Gynecomastias. Aesthetic Plastic Surgery. Fall 1992. p. 325-30.

Kornstein, Cinelli: Inferior Pedicle Reduction Technique for Larger Forms of Gynecomastia. Aesthetic Plastic Surgery. Fall 1992. p.331-5.

Ward, Khalid: Surgical Treatment of Grade III Gynaecomastia. Annals of the Royal College of Surgeons of England. July 1989. p. 226-8.

Courtiss: Gynecomastia: Analysis of 159 Patients and Current Recommendations for Treatment. Plastic Reconstructive Surgery, 1987, (vol?) 79. p. 740-50.

Huang, Hidalgo, + Lewis: A Circumareolar Approach in Surgical Management of Gynecomastia. Plastic and Reconstructive Surgery. January 1982. p. 35-40.

Simon, Hoffman, + Kahn: Classification and Surgical Correction of Gynecomastia. Plastic and Reconstructive Surgery. January 1973. p. 48-52.

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