I'm 16. Do I have gyno and is it serious? (Photo0

Question

As you can see, Im not fat, but I have this puffy nipples, I heard it happens during adolescence, so do I need any treatment? They said it would go away by age of 20 , is it true? Was it caused by hormonal imbalance, if it is, how do I lower estrogen levels?

Jed H. Horowitz, MD, FACS · Answer

Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions.Also, there are different types of #gynecomastia. Particularly, Normal Gynecomastia is usually apparent in males between the ages of 12 to 15 years old. It is also common for older men 65 years old or more who experience a drop in their testosterone levels. #Normal Gynecomastia takes approximately one to two years to naturally regress on its own.Adolescent Gynecomastia is hereditary and usually appears in 30% to 60% of boys between the ages of nine to fourteen. Many cases of adolescent gynecomastia resolve on its own as the boy grows into adulthood. Some with #Adolescent may choose to undergo surgery to correct the situation, this usually happens at the age of 18 or above. In severe cases in young boys, the physician and child development specialists will need to speak to the parents regarding the severity of the gynecomastia and if surgery is an option before the age of 18.

Babak Dadvand, MD · Answer

Hi WiselyK,Thanks for the post and photos. Based on the photos you do have a mild form of gynecomastia referred to as puffy nipples. This is not uncommon in teenage males and in the majority of cases resolves within 3 years. If it is persistent, and if there are no underlying medical causes for it, then surgery would be the only treatment.  Refer to the link below for more information.Sincerely,Dr. Dadvand

Mordcai Blau, MD · Answer

It is best to have a consultation with a surgeon. How should I choose a surgeon?Selecting a surgeon is as important a choice as the decision to undergo surgery. Choose carefully. The decision is yours. What follows is some advice to assist in making your selection.1. Experience matters. Choosing a surgeon who has performed over one thousand gynecomastia cases increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience.2. Results matter. The more before-and-after pictures a surgeon displays, the better. Pay attention not just to the number of pictures, but whether the surgeon is confident enough to show multiple angles of the same patient.3. Reviews matter. Have patients reviewed your surgeon? Did those patients undergo the surgery you are considering?4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Are they certified by the American Board of Plastic Surgery? Have they authored books or medical journal articles regarding your surgery?We hope these guidelines are of assistance when you are selecting your surgeon. When undergoing surgery, it is very important to be realistic about your expectations. Past results are not a guarantee of future results. Also, revision surgery tends to be significantly more difficult than initial surgery.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. I would suggest that you seek consultation with your primary care physician and/or  board-certified plastic surgeons. Physical examination will be key when it comes providing you with an accurate diagnosis. Based on your description and pictures, it is probable that you are dealing with gynecomastia. "Gynecomastia" comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males. Although there may be many “causes”, most cases are idiopathic (no specific cause). The use of certain medications, drugs, organ dysfunction (kidney or liver), hormonal imbalances etc. may also be causative.  Persistence gynecomastia 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 liposuction  surgery may suffice. If/when the time  comes for surgical intervention, please make sure that you seek consultation with board certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you would be pleased with.You may find the attached link, dedicated to gynecomastia concerns, helpful to you as you learn more. Best wishes.

I'm 16. Do I have gyno and is it serious? (Photo0

Answers (4)

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