Would undergoing another course of tamoxifen help to eliminate my gynecomastia? Is surgery my only option?

Question

About 2 years ago I experienced gynecomastia. It initially presented in my left nipple and I was put on tamoxifen, during my treatment it then began to emerge on my right nipple also. Thanks to the treatment my right (second gyno) nipple resolved entirely, and the hard lump under my left nipple also disappeared, however on the left, a slight puffiness still remains which makes the areola visible through some shirts. Is surgery my only option to resolve this? Can I do another course of tamoxifen

Jed H. Horowitz, MD, FACS · Answer

It is best to be seen again by your physician to have your hormones evaluated before making a determination on treatment.  Surgery is considered when the breast enlargement does not respond to medication or diet and/or exercise.  #gynecomastia #Options #Medication

Tom J. Pousti, MD · Answer

Best to be evaluated by your primary care or endocrinologist to discuss the possibility of another course of medical treatment.  Otherwise, seek consultation with board-certified plastic surgeons who can demonstrate lots of experience helping patients achieve the types of outcomes you will be pleased with. Best wishes.

Vasdev Rai, MD · Answer

Get Tamoxifen answer from your endocrinologist. It will be based on your hormonal status. If you do not have underlying hormonal issues then surgery is your only answer.

John D. Smoot, MD · Answer

Thank you for your question and without photos I can't tell you much about your problem and I think this not the venue to discuss this kind of problem.  I would recommend you see a board certified plastic surgeon who can guide you through this problem and give you the best options to resolve this for you.

Would undergoing another course of tamoxifen help to eliminate my gynecomastia? Is surgery my only option?

Answers (4)