Can tamoxifen or raloxifene reduce male breasts (gynemostia)?

Yes: It is important to rule out more sinister causes of gynecomastia, however idopathic gynecomastia can be treated with tamoxifen or raloxifene.

No.: Male breast enlargement at age 79 is usually due to weight gain and decreasing testosterone, not excess estrogens. Anti-estrogen drugs are not indicated, but full endocrine work up can eliminate hormonal concerns. Gynecomastia is treated with plastic surgery to excise any glandular component (very fibrotic) and liposuction for fatty components. Large breast may require skin removal and tailoring.