Gynecomastia: Treatment Options and Insurance Coverage

Gynecomastia in males?

Since elementary school, my breasts have resembled those of a female.
Now that I am almost 28, are there any treatment options available? Does health insurance cover this? Thank you.

neural, 20~29 year old female. Ask Date: 2001/05/25

Dr. Luo Qihua reply Plastic Surgery

You are already 28 years old, and to treat this condition, surgical intervention may be the only option.
The treatment for gynecomastia in males primarily depends on whether the excessive growth is due to glandular tissue or fatty tissue.
If glandular tissue is predominant, surgical excision tends to yield better results, with incisions made at the center of the nipple-areola complex or along the lower edge of the areola to minimize scarring.
If fatty tissue is the main issue, either the aforementioned excision method or a less invasive liposuction procedure can be employed.
If you opt for liposuction or have the procedure done at a general cosmetic surgery clinic, health insurance typically does not cover the costs.
However, if the excision is performed at a larger, more established hospital, health insurance may cover it, but this is uncertain and you should directly consult the surgeon who will perform your operation for clarification.

Reply Date: 2001/05/25

More Info

Gynecomastia, the enlargement of breast tissue in males, can often be a source of concern and embarrassment for those affected. It is commonly caused by hormonal imbalances, particularly an increase in estrogen or a decrease in testosterone levels. This condition can occur at various stages of life, including puberty, when hormonal changes are most prevalent, and in adulthood due to various factors such as obesity, certain medications, or underlying health conditions.

For individuals like yourself, who have experienced gynecomastia since childhood and are now approaching 28 years of age, there are several treatment options available. The choice of treatment largely depends on the severity of the condition, the underlying cause, and the impact it has on your quality of life.

1. Observation: In cases where gynecomastia is mild and not causing significant discomfort or psychological distress, doctors may recommend a wait-and-see approach. Many cases of gynecomastia resolve on their own, particularly those that occur during puberty.

2. Medications: If the gynecomastia is due to hormonal imbalances, medications that adjust hormone levels may be prescribed. For instance, anti-estrogens such as tamoxifen or aromatase inhibitors can be effective in some cases. However, these medications are not always effective and are typically reserved for cases where surgery is not an option.

3. Surgery: For more severe cases or when gynecomastia causes significant discomfort or emotional distress, surgical options may be considered. The most common surgical procedures include:
- Liposuction: This technique removes excess fat from the breast area but is not effective for glandular tissue.

- Mastectomy: This involves the surgical removal of breast gland tissue and is often performed when there is a significant amount of glandular tissue present.

Regarding insurance coverage, it varies significantly by provider and plan. In many cases, if gynecomastia is deemed to be a medical issue rather than a cosmetic one, insurance may cover the costs associated with surgery. It is essential to consult with your healthcare provider and insurance company to understand the specifics of your coverage. They may require documentation of the condition and its impact on your life, as well as any previous treatments attempted.

In conclusion, if you are experiencing gynecomastia and it is affecting your self-esteem or quality of life, it is advisable to consult with a healthcare professional who specializes in this area. They can provide a thorough evaluation, discuss potential treatment options, and guide you through the process of determining insurance coverage. Remember, you are not alone in this, and there are effective treatments available to help you manage this condition.

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