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Diagnosed with prepubertal gynecomastia as a teenager. Do I need surgery for my breasts? (photo)

Diligent540832
I was diagnosed with prepubertal gynecomastia as a teenager. For many years they were dormant, but over the last 12ish months, they have noticeably grown. My physician has examined me and said from a medical standpoint I am healthy, so it is purely aesthetic. Both areola are "puffy" in appearance, however the left side is noticeable larger, giving an asymmetrical appearance. I have been told surgery is the only option as the development is too great now.

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