Unilateral gynecomastia, age 20 - Can I make it even without surgery?

Question

Hi Ive had unilateral Gynecomastia for about a year now and I’m 20. I’ve tried everything to get rid of it my self and I don’t want to have surgery. I feel like this going to be permanent. Is there any thing I could do or at the very least make the gynecomstia even. Because I’d much rather have lateral gyecomastia and look normal instead of having a noticable uneven chest.

Ronald Schuster, MD · Answer

I see unilateral gynecomastia in about 5% of the patients I treat. I believe that surgery is really the only successful treatment. Gynecomastia usually begins during puberty. If it starts later, bloodwork should be done to identify a possible cause.

Daniel Barrett, MD · Answer

Dear Considerate806161,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jayanthy Ravindran, MS, DNB, MRCS · Answer

Hi! I am sorry to hear about your situation. It sounds like you have been trying hard to try to fix this on your own. Unfortunately, it seems like you might need to seek professional help.
When you want permanent results for gynecomastia treatment, you must go through surgery. There are many different types of surgery that can be done to correct this condition. The type of surgery depends on how severe your case is. Some of the most popular treatments include:
• Liposuction: This procedure removes excess fat from specific areas of the body. In addition, liposuction can remove fatty deposits under the breasts.
• Reduction Mammoplasty: This procedure reduces the size of the breast.
• Augmentation Mammoplasty: This operation increases the volume of the breast.
If you decide to undergo surgery, we recommend that you see a plastic surgeon who specializes in cosmetic surgery. Your doctor should perform a physical exam and discuss with you all possible options available to treat your condition. We hope you found this information useful.

Karthik Ram, MRCS, DNB · Answer

The only remedy for gynaecomastia is surgical removal of the gland and fat.
Gynaecomastia cannot be created in a normal breast just for the sake of making it even with the other side.

The proper way to deal with this issue is to get your unilateral gynaecomastia operated.

Andrew M. Ress, MD · Answer

While much of the male breast is fatty tissue that may reduce in size with losing weight, actual breast tissue is almost impossible to fix without surgery. Luckily this can be done through a 1/2 inch incision in the breast crease, and the scar typically heals beautifully.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Your best bet is to undergo liposuction surgery to correct your gynecomastia since it does not typically go away especially if it is unilateral. the benefit of liposuction is that you will only have small pokes measurin 3mm only which can be used to remove all of the fat and some of the glands if needed and no one will know you have had surgery. Please consider a virtual consultation with a high defintion provider to get an accurate recommendation.

Mats Hagstrom, MD (license on probation) · Answer

Treating gynecomastia requires surgical intervention.

Nobody wants to have surgery at least most people don’t but some people need surgical procedures and so they except that fact and move forward and consult with surgeons as scheduled the procedure.

Since gynecomastia is considered an aesthetic or cosmetic issue insurance will not pay for it and it is up to your discretion if you want to have a treated or live with it.

It’s like having crooked teeth or anything else.

You cannot reduce breast tissue or subcutaneous fat on your own without surgical intervention.

Best,

Mats Hagstrom MD

Unilateral gynecomastia, age 20 - Can I make it even without surgery?

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