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What causes Gynecomastia or Man Boobs?

Gynecomastia causesGynecomastia or Gyno is a condition where the glandular tissues of the male breast become enlarged. Often called man boobs, gynecomastia causes usually result from a hormonal imbalance with an excess of estrogens being produced in relation to androgens, or male hormones. It can also be a side effect of some medications or drug abuse. It is sometimes associated with medical conditions including chronic kidney failure, cirrhosis of the liver, and hyperthyroidism.

Who gets Gynecomastia?

Gynecomastia is common during infancy, puberty, and in middle to older age men. It should be noted that it is different from lipomastia or pseudogynecomastia, which is the presence of fat deposits in the breasts of men suffering from obesity. True gynecomastia is the result of the growth of the breast tissue or glands.

Treating Gynecomastia

Gynecomastia that occurs in normal infants and young boys — known as physiologic gynecomastia — usually resolves by itself. Discontinuation of any medication that causes this condition may also resolve gynecomastia. However, once the breast tissues grows, it will generally not reduce or go away.

Should gynecomastia persist, one effective method is to remove the breast tissue through gynecomastia surgery. The surgical procedure is called male breast reduction or subcutaneous mastectomy. This procedure is performed under local anesthesia. A tiny incision is made in the areola to hide any scarring, and the tissue is removed either directly and/or with Vaser Liposuction. The incisions are closed and the patient will need to wear a chest binder for a few weeks to ensure proper healing.


In the case of fat deposits causing pseudogynecomastia, liposuction can be used to remove the fat. In these cases, a surgeon can remove the fatty tissues as well as contour the chest areas.

There may be some slight discomfort associated with the local anesthesia; however, the procedure is relatively pain free. There is no downtime or long recovery time, so patients may return to their normal routines within just a few days; however, heavy lifting should not be done for about two weeks. The stitches will need to be removed in about one week.

Can Gynecomastia Return?

During the tissue removal procedure, all breast tissue is removed, so gynecomastia should not return. In the case of pseudogynecomastia caused by fat deposits, this should not return if there is no weight gain.

Gynecomastia Surgery

If you wish to lose man breasts, contact us for a Free Consultation with Board certified Plastic Surgeon Dr. Staci Hix-Hernandez MD at Beleza Medspa to discuss your options.

Gynecomastia Surgery Cost

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