Once glandular tissue forms behind the male nipple, can it go away without surgery?

Sometimes gynecomastia can subside on its own.  A good example is in teenagers where by puberty many of the cases resolve spontaneously.  It is more rare for adults to have a spontaneous resolution but it is possible, particularly if it is medication induced.

There are several common factors which contribute to gynecomastia. These include 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.Normal Gynecomastia is usually apparent in boy between the ages of 12 to 15 years old and older men 65 years old or more who experience a drop in their testosterone levels. This type of Gynecomastia takes about one to two years to regress on its own.Pure Glandular Gynecomastia is seen more commonly in body builders and is caused by steroid use. Surgical removal of the gland is required for treatment.Adult Gynecomastia – Fat deposits are apparent in the glandular tissue. This type of gynecomastia is the most common. Doctors may recommend surgery for treatment of the condition.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 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.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.Pseudo-Gynecomastia is composed of adipose tissue instead of glandular tissue. This type of gynecomastia can be treated with diet, liposuction or surgerySevere Gynecomastia commonly affects those who have lost skin elasticity at an older age and those who have been obese or overweight at one point in their life and lost weight may have saggy skin and breasts that are severely enlarged. Surgery is the recommended treatment for severe gynecomastia. There are three types of surgical treatment options available that treat gynecomastia. The doctor will recommend the one that is best suited to each individual case.

Tissue behind the Nipple-areola complex usually does not regress, unless the unerlying cause is an external one (i.e. medications or hormones). It the cause is not internal and you are over 18 years of age, surgery is usually the best and permanent treatment for this condition. 

Excess glandular breast tissue in males, regardless of age is called gynecomastia. In usually first appears during puberty. if it does not go away within two years it will usually remain for life. Surgery is really the only treatment.

Andr3,Most likely it does not go a way. If you waited at least 6 months and its still present and bothers you, a simple excision may be all it takes.  I would consult with a plastic surgeon.Please don’t hesitate to reach out if you have any more questions.I hope this was helpful,Dr. Daniel BarrettPlastic SurgeryBeverly Hills, CA