Can long term affected gynecomastia be cured by taking pills? (photo)

Dear Suvashis,  
1. Nolvadex is tamoxifen and antioestrogen , which is prescribed for young boys with painful gynaecomastia. During puberty , when enlargement is fresh and temporary , it may work . But at 30 the chances of it working are low . After stopping medication there are chances to it coming back also. You may not be satisfied with little reduction -you need complete reduction . If you still want to take pills -you should take it only on  endocrinoplogist 's advise, because it can be unsafe.
2. Surgery is safe -under local or general anaesthesia. It gives complete and permanent result with a simple procedure. Even if you have had TB thats no problem for general anaesthesia. But of course , if you want local anaesthesia-that can be done as well.
Take care

Unfortunately, no pills will make gynecomastia go away.  Your more effective and safer method to flatten your chest is through surgery from a board certified plastic surgeon.

Surgery is the only real option to reduce long-standing gynecomastia. Consult with a board certified plastic surgeon and anesthesiologist about your concerns.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA