Why is gynecomastia commonly found in teenagers? (photo)

I'm so mad about my gynecomastia what can I do?

Doctor Answers 6

Gynecomastia Concerns as a Teen

There are several common factors which contribute to gynecomastia. These include 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.

Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews


Gynecomastia is caused by hormonal changes during the male puberty and adolescence. It is recommended that the operation is done between 17 and 18 years of age, or before entering college as long as all the hormonal tests are normal.

Kenneth Schimensky, MD
Dominican Republic Plastic Surgeon
4.3 out of 5 stars 4 reviews

Cause of gynecomastia in teenagers

Gynecomastia is the most common breast problem in men.  A large percentage of teenage males are affected due to hormonal changes during puberty.  Specifically, gynecomastia occurs due to an excess of estrogen relative to circulating testosterone.  In most males who are affected, the breast size will return to normal after puberty when hormones are better balanced.  If your gynecomastia persists for more than 12-18 months, it is important to be evaluated by a primary care physician, who can refer you to a board certified plastic surgeon if indicated.

Benjamin Wood, MD, FACS
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 15 reviews

So sorry

Sorry to hear about your frustration.  Gynecomastia occurs due to an imbalance in hormones.  Puberty is a prime time when hormone levels are sorting themselves out.  The good news is that in most boys, the gynecomastia will resolve on its own once the hormones settle out.  
Good Luck
"The above answer has been given without seeing this patient and cannot be substituted for actual in-person examination and medical advice; it is only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Brian Arslanian, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 26 reviews

Why is gynecomastia commonly found in teenagers?

Thank you for your question and I am sorry to hear of your frustration and anger with gynecomastia.  Although the majority of males entering puberty will develop some degree of gynecomastia it tends to resolve spontaneously over time.  In some patients the temporary imbalance of estrogen to testosterone during adolescence will cause a permanent increase in male breast tissue which requires surgery to correct definitively.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 68 reviews

Why do Many Teenagers Get gynecomastia?

As boys go through puberty their hormones fluctuate which can cause an increase in breast tissue from the elevated levels of estrogen. Studies show this will affect about 65% of adolescent boys. The good news is the hormone levels return to normal within 2 years for most young men and their chest will also return to normal. However, for about 5% of young men the breast tissue will remain, and then surgery will be the only option, but they normally have a great surgical result due to good elasticity of the skin as it will retract back to the muscle after the gland is removed. Good luck

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 76 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.