I'm 15 & wondering how bad is my gyno? I have had it for two years and there is no bud under it anymore will it go away.(photo)

Question

I am 15 years old and don't have a bud under my nipples anymore and i have had puffy nipples for two years. The doctor just said they will eventually flatten but I don't believe that.

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.

Jeffrey A. Sweat, MD · Answer

If you can no longer feel a "bud" of tissue beneath the nipples, then I believe your doctor is probably right.  You look like you are in good shape and work out and I suspect that as you continue to develop your pectoral muscles, your nipples with flatten even more with time.  Just be sure to avoid steroids and be careful with synthetic supplements.  Best of luck!

Mordcai Blau, MD · Answer

If it bothers you you can look for the right doctor, 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.

I'm 15 & wondering how bad is my gyno? I have had it for two years and there is no bud under it anymore will it go away.(photo)

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