18 year old for male breast reduction surgery? (Photo)

I am an 18 year old who suspects they have gynecomastia. I heard that the age for surgery is 20+ so I was wondering whether I would be permitted to have surgery at my age. Ive been 5'11, weighing 200ibs with facial since I was 14. I dont smoke, drink etc. and i try to work out at least twice a week. Could get a rough estimate based on the attached pictures? I heard that removing the breast gland is covered by OHIP.

Doctor Answers 12

Possible Gynecomastia at Age 18

Gynecomastia is a common occurrence in boys going through puberty.There are different types of #gynecomastia.  Categorized as #physiologic gynecomastia, up to 2/3 of boys going through puberty develop some form of gynecomastia. This form of gynecomastia is due to the surges in testosterone and estrogen which often lead to an imbalance of the testosterone:estrogen ratio. Puberty is a difficult time for most boys, with many changes occurring not just physically but also emotionally. Developing gynecomastia during this age can affect the self-image and confidence of a teenager. The peak incidence occurs around 14 years of age.

In up to 75% of boys who develop pubertal gynecomastia, it will disappear without treatment within 2 years. In 90% of boys with pubertal gynecomastia, it will disappear without treatment within 3 years. So deciding who needs surgery is very important in this age group because a majority of these boys will not need any intervention.

#Normal Gynecomastia is usually apparent in males between the ages of 12 to 15 years old. It is also common for older men 65 years old or more who experience a drop in their testosterone levels. #Normal Gynecomastia takes approximately one to two years to naturally regress on its own.

Meanwhile, #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 with #Adolescent 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.

Orange County Plastic Surgeon
5.0 out of 5 stars 107 reviews

Candidate for Gynecomastia removal

Who is a candidate for Male Breast Reduction?
Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed.
Intended ResultPermanent reduction of unwanted volume and improvement in the contour and appearance of the male chest.
Procedure descriptionThere are varying degrees of gynecomastia ranging from puffy nipple to severe breast enlargement and/or breast sag. The severity of the gynecomastia will determine which treatment option is necessary. In most cases, men suffer from standard gynecomastia, which can be surgically treated as an in-office procedure under local anesthesia. For more severe cases, it may be recommended that you have your procedure under general anesthesia at an outpatient surgery center. Your consultation will determine which option is best suited for treating your gynecomastia.You should consult with a Board Certified Plastic Surgeon and decide on course of treatment if necessary.
I have attached a link to help you choose the best one for you!


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Male breast reduction surgery

Dear icecreem,

Thank you for your clinical post and photograph. It does appear from the photograph that you do have some degree of gynecomastia, which can be partially glandular or adipose (fatty tissue).Treatments for gynecomastia vary depending upon the surgeon and the degree of breast enlargement. It does appear you’d be a good candidate for non-excisional, non-minimal scarring technique called BodyTite or SmartLipo. During this technique energy assisted device emits radio frequency energy internally, coagulates both gland and fat for aspiration. The advantage of this technique is you get excellent contraction upwards of 35% without the large around the areola or even lollipop scar that reduction surgery may ensue.

OHIP does not cover this kind of surgery, however, you want to make sure that you’re at the age of skeletal maturity and have stopped growing. You want to make sure that you have a normal libido and normal erections with no erectile dysfunction so that you may rule out any underlying endocrinological abnormalities.
If this is purely hereditary glandular hypertrophy and gynecomastia than BodyTite or SmartLipo would likely be your best option.

I have been performing liposuction for over 20 years and the energy-assisted techniques for over 10. These energy-assisted techniques often avoid larger scarfication procedures, which may heal adversely.
I hope this information has been of some assistance and best of luck.

For more information, please review the link below. Pay close attention to BodyTite, SmartLipo and Vaser Lipo.

R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Yorkville, Toronto

R. Stephen Mulholland, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 93 reviews


Yes it looks like you have gynecomastia. If you have had it more than 2-3 years I doubt it will go away. Your skin looks like it is in great shape and should shrink nicely. Go get some consults.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 reviews

18 year old for male breast reduction surgery?

Thank you for your question and photos. In my opinion, you can proceed with gynecomastia surgery (at the age of 18 years old)
Correction of gynecomastia or breast reduction surgery will certainly help you; the trade-off associated with the surgery in your case will be the presence of scars on the chest. The trade-off for improved contour is one that you will have to accept prior to proceeding.
My best suggestion: when the time is right, seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with.
Then, communicate your goals, concerns, and questions. Learn about the pros/cons/risks/complications associated with surgery. Going through this process, you will be able to make an informed decision whether or not to proceed.
You may find the attached link, helpful to you as you learn more. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,485 reviews


At the age of 18, you seem to have fully developed by now and I certainly think that you can have the gynecomastia surgery.  I don't know about the OHIP, but here in my state gynecomastia surgery is never a covered procedure.  Males that develop a one sided new breast mass later in life would be covered as a breast biopsy for a new mass or growth in the breast.  But as gynecomastia is a common occurence, it is not usually covered.  

Ramiro Morales, Jr., MD
Pembroke Pines Plastic Surgeon
4.6 out of 5 stars 28 reviews

Excision of gynecomastia in an 18-year-old.

Gynecomastia evolving in puberty generally is gone within a couple of years. By 18 years of age this is probably a permanent condition. Excision is fairly simple. Depending on the anesthetic you can probably have this done for $2-$3000.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews


You have gynecomastia. with the current size of your breasts there is no advantage to postpone surgery other than for your convenience.There is never a reason to delay surgery until 20 that is a misconception that is unfortunately advocated by individuals with a poor understanding of the physiology involved,but that is a rather complicated subject that need not be addressed here.You should see a surgeon with expertise in the treatment of gynecomastia..

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

18 year old for male breast reduction surgery? (Photo)

Without examining you I cant be entirely sure how much of the problem is glandular and how much is fatty tissue. In either case it is a relatively straightforward operation that can be done with minimal access incisions near the armpit. Unfortunately OHIP will only pay for treatment of gynecomastia in adolescents and in adults who have it as a result of a medical problem. Unfortunately at 18 years old if you dont have a medical condition that is causing this (hormone imbalance, side effect of treatment for another condition etc..) then OHIP wont cover the cost of surgery. The only way to know for sure is to book a consultation with a Royal College certified plastic surgeon near you. Best of luck! 

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
4.9 out of 5 stars 30 reviews


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.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 74 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.