Hard lumps under nipples and they are sore. Is my gyno getting worse?

Question

Past few months my nipples have gotten sensitive and I feel like the hard mass underneath has gotten somewhat bigger. I'm 23 and have had a minor lump under both nipples since I was a teen but it has become more noticeable. Has anyone else had this happen?

Jed H. Horowitz, MD, FACS · Answer

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. 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.There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Ajaya Kashyap, MD · Answer

Thank you for your question.It is difficult to say without seeing any pictures or examining you. You should have your chest examine by a Plastic Surgeon in your area who can evaluate you and help you with your problem. All The Best !

Robert M. Tornambe, MD · Answer

I appreciate your concern, but physical exam would be helpful. It appears you possibly have mild Gynecomastia which is usually treated by liposuction alone or direct excision. The scars are small and well hidden. Insurance may or may not cover it, depends on your policy. Check out the link below to an article I wrote about Gynecomastia, as you may find it helpful. Seek out a board certified plastic surgeon in your area, good luck!

Mordcai Blau, MD · Answer

How should I choose a surgeon?
Choose carefully. The decision is yours. Advice to assist in making your selection.Only a board certified plastic surgeon
1. Experience matters. Choosing a surgeon 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, the better. Pay attention whether the surgeon is confident enough to show multiple angles of the same patient.
3.Only gynecomastia Reviews matter. 
4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Have they authored books or medical journal articles regarding your surgery?
Be realistic about your expectations. Also, revision surgery tends to be significantly more difficult than initial surgery.

Sherwood Baxt, MD (retired) · Answer

Is there any chance you have taken any "over the counter" supplements in the last few months.  This is such a common story in my practice. In either case, a visit with a board-certified plastic surgeon in your area that specializes in the operation will set your mind at ease. If surgery is necessary it can be done through a tiny almost invisible incision inside your armpit. Good luck with your research.

Hard lumps under nipples and they are sore. Is my gyno getting worse?

Answers (5)

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