Can Unilateral Gynecomastia be treated with prescription from a Doctor or is surgery the only option? (photos)

Surgery is the only option, once your tissue has " hypertrophied" or grown a excision is the only option, unfortunately many men are taking OTC supplements which result in glandular growth as these supplements are not FDA regulated.....good luck and seek a BC PS who does lots of this type of work!

The most common and reliable method to correct gynecomastia, is surgery.There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate. #Assymetric or Unilateral Gynecomastia appears in either one or both breasts at different degrees. In many cases one breast appears larger than the other. Surgery is a common treatment for this type of gynecomastia.

Also, "Puffy Nipple Areola Complex" is among the most common forms of gynecomastia. This gland and/or adipose tissue accumulation can be located under the areola or can be slightly extended outside the areola, causing the areola to appear dome shaped. This form of #Gynecomastia can be found in all age groups but is more common in young adults. Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.As each case is different, it is vital that you consult with a board certified plastic surgeon who is experienced in male breast surgery. The surgeon should determine if you are a suitable candidate for male breast reduction by liposuction or glandular excision. It is also crucial to have a plastic surgeon who is well-versed in the gynecomastia condition can determine if there is firm breast tissue beneath the areola that is causing the nipples to project (which is often the case), and if so, how much of this glandular tissue can be removed to create a flat appearance.#PuffyNipple surgery generally takes only an hour or two, and the recovery time is short; sometimes less than a week. There is minimal scarring and the success rate is excellent. Therefore, patients who suffer from "Puffy Nipples", and who view it as an unaesthetic and unpleasant condition, may desire surgical intervention to correct the "puffy nipple" condition.

Yours is not an uncommon scenario -- I see many men who come in with complaints of gynecomastia after various supplements or steroids.  It is often bilateral, but can obviously be more prominent on one side.  If your prolactin levels are high, I would wait to see how the breast gland behaves once your levels are back within normal range.  You may find that the gland settles down.  If the mass stays prominent, however, then surgery is your only option.  Find a Plastic Surgeon with significant experience in gynecomastia surgery for a consultation if necessary.