Should I get Propecia induced gynecomastia surgery?

Question

Hello, I have Propecia induced gyno. I never had any fat at all before taking Propecia then over a few months to years I noticed all the fat going on my chest and stomach. I’m NOT prepared to stop taking it but wouldn’t mind doing something about the gyno. Is surgery an option to remove gland or lipo or will it just return as I continue Propecia? Thanks

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Depending on whether your tissue growth is true glandular tissue or adipose it can be treated with either direct glandular excision or liposuction to offer a long-term solution.  Hope this helps.

David Azouz, MD, FACS, FRCS(C) · Answer

There are alternatives to propecia including avodart (dutasteride), topical minoxidil, growth factors and PRP.  Some of these treatments are proven effective and others are evolving.  They may be worth looking into.  The 5alpha reductase inhibitors affect DHT which in some patients is thought to contribute to gynecomastia.  A plastic surgeon can perform a history and physical exam to determine if the gynecomastia can be removed with excision and liposuction.  The type and amount of tissue will help to better understand how permanent the correction may be.  That being said any surgical correction will make a patient better off than they would with no correction at all.

Should I get Propecia induced gynecomastia surgery?

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Should I get Propecia induced gynecomastia surgery?

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Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.