Gynecomastia: Causes, Treatment Options, and Recovery

Gynecomastia

I am 17, almost 18, and I have been struggling with breast issues for over 6 years.
I went from 172 cm and 82 kg to now 74 kg (with regular exercise), but my breasts have not decreased in size.
I would like to know if there is a chance that my breasts will reduce in size on their own, or if I need to consider surgery.
What are the costs associated with the surgery and the recovery time? I often feel that my breasts are very heavy.

123, 10~19 year old female. Ask Date: 2017/12/18

Dr. Zhou Hongzhang reply Plastic Surgery

A physician must not provide treatment, prescribe medication, or issue a diagnosis without a personal examination.
1.
Gynecomastia in males can sometimes be a constitutional issue; if it has not decreased by the age of 20 after puberty, surgical intervention may be considered.
2.
The recovery period is approximately 2-3 weeks, and the cost of surgery varies depending on the surgical method and the physician.
3.
It is advisable to seek a consultation first to determine if there are any other underlying issues.

Reply Date: 2017/12/18

More Info

Gynecomastia, or the enlargement of breast tissue in males, can be a source of significant concern and discomfort for those affected. It is important to understand that gynecomastia can occur due to various factors, including hormonal imbalances, certain medications, and underlying health conditions. In your case, as a 17-year-old female, it is essential to clarify that gynecomastia typically refers to male breast enlargement, while females may experience breast tissue changes due to hormonal fluctuations, weight changes, or other factors.

Causes of Breast Enlargement
1. Hormonal Changes: During puberty, hormonal fluctuations are common. An increase in estrogen levels or a decrease in testosterone can lead to breast tissue development. In many cases, this condition resolves itself as hormone levels stabilize.

2. Weight Changes: Weight gain can lead to fat accumulation in the breast area, which may mimic gynecomastia. In your case, you mentioned a significant weight loss, which can sometimes lead to changes in breast tissue as well.

3. Medications: Certain medications, including those for treating acne, depression, or other conditions, can contribute to breast tissue enlargement.

4. Health Conditions: Conditions affecting hormone levels, such as hyperthyroidism or liver disease, can also lead to breast enlargement.

Treatment Options
1. Observation: In many cases, especially during puberty, gynecomastia may resolve on its own. Regular monitoring is often recommended, especially if the condition is not causing significant discomfort or psychological distress.

2. Lifestyle Changes: Maintaining a healthy weight through diet and exercise can help reduce breast tissue if the enlargement is due to fat accumulation.

3. Medications: In some cases, medications that adjust hormone levels may be prescribed. However, this is typically more common in males.

4. Surgery: If gynecomastia persists and is causing significant discomfort or emotional distress, surgical options may be considered. Surgical procedures can include liposuction to remove excess fat or mastectomy to remove glandular tissue.

Surgical Considerations
- Cost: The cost of surgery can vary widely based on location, the surgeon's experience, and the complexity of the procedure. It is advisable to consult with a board-certified plastic surgeon to get an accurate estimate.

- Recovery Time: Recovery from gynecomastia surgery typically involves a few weeks of downtime. Most patients can return to normal activities within a week or two, but full recovery may take several weeks to months, depending on the individual and the extent of the surgery.

Conclusion
Given your age and the duration of your symptoms, it is crucial to consult with a healthcare provider who specializes in breast health or endocrinology. They can perform a thorough evaluation, including hormone level testing, to determine the underlying cause of your breast enlargement. If it is determined that surgical intervention is necessary, they can guide you through the process, including discussing potential risks, benefits, and what to expect during recovery.

In summary, while there is a possibility that breast tissue may decrease over time, especially with continued weight management and hormonal stabilization, it is essential to seek professional advice to explore all available options and ensure your concerns are addressed appropriately.

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