25 Frequently Asked Questions (FAQs) About Gynecomastia and Its Treatment

What is gynecomastia?
Gynecomastia is the enlargement of male breast tissue caused by hormonal imbalances, genetics, or other factors.
What causes gynecomastia?
It is mainly caused by an imbalance between testosterone and estrogen levels. Other factors include obesity, certain medications, and medical conditions.
Is gynecomastia common?
Yes, it affects many males, from teenagers to older adults. It is especially common during puberty and with aging.
Does gynecomastia go away on its own?
In some cases, especially during puberty, gynecomastia may resolve on its own. However, if it persists for more than a year, medical treatment may be necessary.
How do I know if I have gynecomastia or just fat (pseudogynecomastia)?
Gynecomastia is firm glandular tissue under the nipple, while pseudogynecomastia is caused by excess fat. A doctor can diagnose the difference.

What are the symptoms of gynecomastia?
Symptoms include swollen breast tissue, tenderness, and sometimes pain or nipple discharge.
Can gynecomastia affect both breasts?
Yes, it can occur in one or both breasts, either symmetrically or asymmetrically.
How is gynecomastia diagnosed?
A doctor will examine your chest, ask about medical history, and may request tests like blood work or imaging.

What are the treatment options for gynecomastia?
Treatments include lifestyle changes, medication, and surgery, depending on the cause and severity.
Can exercise or diet reduce gynecomastia?
Exercise and diet can help if excess fat is a factor (pseudogynecomastia), but true gynecomastia with glandular tissue may require surgery.
Are there medications for gynecomastia?
In some cases, hormone therapy or medications like tamoxifen may help, but they are not always effective.
Is surgery the best option for gynecomastia?
If gynecomastia is persistent and causes discomfort or self-consciousness, surgery (liposuction or gland removal) is the most effective treatment.
What types of surgery are available for gynecomastia?
The main options are liposuction (removing fat) and gland excision (removing breast tissue). Often, both are combined for the best results.

Is gynecomastia surgery safe?
Yes, when performed by a qualified surgeon, it is a safe and effective procedure with minimal risks.
How long does gynecomastia surgery take?
The procedure usually takes 1-2 hours, depending on the complexity.
What is the recovery time after surgery?
Most patients recover in about 1-2 weeks, but full results take a few months.
Will there be scars after gynecomastia surgery?
Small scars may be present, but they fade over time and are usually not noticeable.
Do I need to wear a compression garment after surgery?
Yes, wearing a compression garment helps reduce swelling and improve healing.
When can I return to work and exercise after surgery?
Light work can be resumed in a week, while strenuous exercise should be avoided for at least 4-6 weeks.

How much does gynecomastia surgery cost?
The cost varies based on location, surgeon expertise, and procedure complexity, hospital and class of bed which the patient opts for,
Is gynecomastia surgery covered by insurance?
Insurance may cover it if it is due to a medical condition, but most cases are considered cosmetic.
Can gynecomastia come back after surgery?
If glandular tissue is fully removed, recurrence is rare unless triggered by weight gain or hormonal imbalances.
Are there any risks with gynecomastia surgery?
Like any surgery, there are risks like infection, swelling, and minor asymmetry, but they are rare with a skilled surgeon.
Can teenagers get gynecomastia surgery?
It is recommended to wait until after puberty, as gynecomastia may resolve naturally.
Where can I find the best gynecomastia surgeon?
Look for a board-certified plastic surgeon with experience in gynecomastia surgery. Research reviews and before-and-after photos before choosing.

THE GYNECOMASTIA CLINIC