Should i have surgery if i have gynecomastia?

Why not?: Depends upon the cause of gynecomastia. If you are fat/obese - i would suggest first losing weight. If the gynecomastia is secondary to a hormonal condition - this should be check out. It is is idiopathic (no known cause) and it bother you, i would see the counsel of a board certified plastic surgeon.

Depends : There are causes of gynecomastia such as hormonal imbalance, and excess weight that are reversible. If all reversible causes are not an issue then surgery may be your answer. A consultation with a board certified plastic surgeon will help you decide these questions.

Possibly.: I have found that gynecomastia, if persistent, 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 alone may suffice. For patients with excess skin, common after weight loss, skin excision may also be necesary.

Not usually.: It may go away on its own especially if associated with presciption medications that can be substtuted. Occasionally, some patients have surgery for persistent gynecomastia that is either painful or cosmetically unacceptable.

Depends...: The decision of whether or not to proceed with surgery to correct gynecomastia will ultimately be a very personal decision based on whether the enlarged breast gland causes physical and/or psychosocial “distress”. As always, patient should weigh the pros/cons associated with the procedure to determine whether to proceed or not. Consultation with board certified plastic surgeons may be helpful.

If it bothers you: Whether or not to proceed with surgery will depend on how bothered you are by the appearance of it.