A member asked:

What are ways to treat pubertal gynecomastia?

5 doctors weighed in across 3 answers
Dr. Shlomo Widder answered

Specializes in Plastic Surgery

Male breast : This term is used to describe male breast enlargent. The enlargement can be breast only or breast and fat. Breast enlargement only can be unilateral or bilateral. The cause can be hormonal, medical or recreation drugs , genetic and very rarely cancer. Before surgical treatment, all stimulants have to be stoped or taken care of. Surgery involved breast excision and liposuction for excess fat

Answered 5/5/2015

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Observe & wt loss: Achieving an ideal body weight and observation are the only two recommended courses of action during puberty unless the condition is unilateral and there is sufficient concern for possible tumor suspicion in which case a needle biopsy may be recommended . Most cases ;~80%) of normal pubertal gynecomastia will resolve.

Answered 1/29/2014

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Surgery Helpful.: Assuming a young man has achieved a long-term stable weight and there are no causative agents involved ( medication, marijuana, steroids…), surgical treatment can be very helpful. Gynecomastia is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. Skin excision necessary in occasional cases.

Answered 9/7/2013

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