How is gynecomastia treated in chubby boys?

See below: If the child is over weight, then diet and exercise will help the gynecomastia. In overweight males, the gynecomastia is due to fat tissue, not breast tissue. Surgery can be done, but only if normal weight males, that have gynecomastia secondary to breast tissue.

Wait until 18 : Traditionally, estimates of normal pubertal gynecomastia vary from 4-nearly 70%. When associated with overweight individuals this incidence can be expected to be on the higher side. Nearly 2/3 of gynecomastia cases will resolve with time. Certainly in instances of obesity, an effort to avhieve weight loss or at least a stable weight should be attempted first.

Diet and Exercise: Assuming a young man has achieved a long-term stable weight and there are no “causative agents” involved, surgery may be indicated. It is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery may suffice.