I am 17 years old and my chest has big boobs. What's the permanent solution of this?

The male breast is composed of glandular tissue and fatty tissue. An excess in either type of tissue can cause the chest to take on the look of gynecomastia. Gynecomastia can affect men of all different body types. 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.

If you have had male breasts for less than 2 years, it may go away on its own. If it has been longer than that, it is probably permanent. The only way to get rid of it permanently is by surgical incision combined with liposuction. Unless your gynecomastia is caused by fat only, if so, liposuction or CoolSculpting may be a resolution for you. See a Board Certified Plastic Surgeon that specializes in gynecomastia to evaluate you and explain what options are available to you. Good luck!

Please understand that you are not alone and Gynecomastia is fairly common. There are reasonable surgical  options for your condition. Check out the link below to an article I wrote about Gynecomastia. Good luck!

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.

Have your primary care doctor refer you to a plastic surgeon for a breast reduction. There are several different types of breast reduction surgery and you should work with a board certified plastic surgeon to pick the procedure best for you.

It is best to be seen in person to see if the tissue is fatty or glandular and what the skin quality is.  Sometimes liposuction is good, sometimes direct excision is necessary, and sometimes skin has to be removed.

The treatment would be breast reduction surgery. Insurance companies will not consider a patient under age 18 or 19. In the meantime, if the breasts are causing musculoskeletal pain, you could consider physical therapy. No treatment can be undertaken without parental consent.