How is gynecomastia treated?

FAQ

I chose surgery and after many years I was finally able to have the procedure done. In my case I believe surgery was the only option because mine were large, each about the size of an average navel orange. I never tried binding my chest but I wore a lot of oversized dark clothing and covered up pretty well. That didn’t sole the condition but it did allow me to function on a daily basis with less self consciousness.

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Gynecomastia can be addressed through several treatment options depending on the underlying cause and severity.

1. Observation: In cases where gynecomastia is mild and not causing discomfort or psychological distress, a watchful waiting approach may be appropriate. Many cases resolve on their own over time.

2. Medications: If gynecomastia is linked to hormonal imbalances, medications that adjust hormone levels may be prescribed. Anti-estrogen medications, such as selective estrogen receptor modulators (SERMs), can help reduce breast tissue.

3. Surgery: For persistent or severe gynecomastia, surgical options may be considered. Two common procedures are:

   • Liposuction: This technique removes excess fat tissue while leaving glandular tissue intact, suitable for cases where the enlargement is primarily due to fatty tissue.

   • Mastectomy: This technique focuses on removing glandular breast tissue while preserving the overlying skin and nipple-areola complex. It is often recommended for cases where glandular tissue predominates and where the breast skin is sufficiently elastic to allow for a good cosmetic result. In some cases, surrounding fat and skin may also be excised for optimal results.