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Richard P. Rand, MD answers: Exercise vs. plastic surgery for gynecomastia?

My chest is growing, not from bench pressing! Hoping one of the doctors can answer whether male breast enlargement is reversible or is plastic surgery the only answer.


Richard P. Rand, MD
12 months ago
By Richard P. Rand, MD - Seattle Plastic Surgeon

Males who notice breast enlargement that is not from exercise or weight gain should see their doctor for an evaluation. Certain medications, testicular problems, hormonal imbalances, and marijuana use can cause potentially reversible breast enlargement in men.

True gynecomastia usually appears in early teenage years and generally requires some surgical intervention for treatment such as liposuction or open excision depending on the nature and amount of the tissue.

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More answers to “Exercise vs. plastic surgery for gynecomastia?”

A: First and Foremost, Get a good examination

Shahram Salemy, MD
12 months ago
By Shahram Salemy, MD - Seattle Plastic Surgeon

While the majority of gynecomastia is an isolated issue, there are some cases in which gynecomastia is a sign of another underlying issue (testicular issues, hormone imbalance, or even side effects of medication or drugs). You need to first be checked out by either a Board Certified Plastic Surgeon, or even a good Internist who knows what to look for.

Assuming there are no other medical issues to be addressed, it is unlikely that true gynecomastia (presence of breast tissue, not just fat) that has been present for a year or more will just go away on its own. There are multiple good options for surgical correction that can give you the results you're looking for. The key is to find a Board Certified Plastic Surgeon in your area, sit down and chat with him or her and get a sense of their plan for your procedure.

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