How can I get rid of gynecomastia without surgery?

Tags:man age 25-34 chest gynecomastia exercise home treatment diet

Is it possible or am I out of luck? I’ve come across some suggested exercises as well as some dietary supplements, but the more I read, the more it sounds like surgery is the only way. If anyone knows of anything that might work please let me know.

ViperOne

M, 31, Tennessee

Gynecomastia is the enlargement of the male breast gland, and is usually caused by hormonal issues. In most people, gynecomastia is a mix of excess fatty tissue and firm breast tissue.

If you have true gynecomastia, your only option is surgery. While it’s true that losing weight and excess fat from the area can improve the appearance of your chest to a certain extent, diet and exercise have no effect on the breast tissue itself.

On a similar note, there’s no evidence to suggest that dietary supplements, gynecomastia pills, and other home remedies are effective in treating gynecomastia. I strongly suggest you save your time and money by avoiding these dubious DIY solutions.

In my opinion, surgery is your best bet. There are a few different types of procedures that may be suitable for you depending on your circumstances, including excision and liposuction. I recommend consulting a board-certified plastic surgeon to receive a formal evaluation and discuss your options.

Dr. Kimberly Henry has 2 Gynecomastia reduction before & afters:

Gynecomastia reduction before image performed by Dr. Kimberly HenryGynecomastia reduction after image performed by Dr. Kimberly HenryGynecomastia reduction before image performed by Dr. Kimberly HenryGynecomastia reduction after image performed by Dr. Kimberly Henry

» View Dr. Kimberly Henry's full profile

It may be possible to rid yourself of gynecomastia without surgery. But determining which gynecomastia treatment option is best for your specific case will depend on the severity of the condition, your symptoms, and other factors.

There are a number of non-surgical treatments touted for male breast enlargement, a.k.a. man boobs or man breasts.

Some of them, such as diet and exercises aimed at building muscles (e.g., push ups, bench press) are potentially effective. Others, like gynecomastia pills, dietary supplements, gynecomastia creams or green tea extract, are not.

Some men with fatty tissue gynecomastia have also been helped with the use of CoolSculpting to the pectoral area. This new use of CoolSculpting is experimental, but has shown promise.

The only way to find out whether gynecomastia surgery or one of the non-surgical options is best for you is to schedule a consultation with a plastic surgeon. At your consultation, ask the surgeon which of the following conditions you have:

Severe gynecomastia commonly affects older men with compromised skin elasticity and those who were once overweight but have recently undergone significant weight loss. These men often have sagging skin and enlarged breasts. Male breast reduction is usually the right treatment for severe gynecomastia.

Adult gynecomastia is a type of gynecomastia in which fat deposits appear in the glandular tissue of the male breast. The most common type of the enlarged breast medical condition, adult gynecomastia, often but not always requires reduction surgery.

Pseudogynecomastia is a form of gynecomastia characterized by the existence of adipose tissue rather than glandular tissue. Depending on the exact circumstances it may be treatable with diet, liposuction surgery, or breast reduction surgery.

After conducting a comprehensive assessment of your condition, your surgeon should be able to tell you what the best cure is.

Diet, supplements, wearing compression shirts and other methods advertised to treat so-called man boobs naturally are unlikely to cure the condition. While there are a number of alleged “treatments” for gynecomastia out there, in most cases the only way to remove the excess breast tissue and reshape the chest area is through breast reduction surgery.

Usually, the best surgical approach is to combine partial excision of the glandular tissue with liposuction. If there is excess adipose tissue, liposuction alone may be sufficient to address the condition.

Gynecomastia surgery can be a life-changing treatment. When you are ready to address your enlarged male breast tissue, contact a board-certified plastic surgeon who has extensive experience treating this condition.

Dr. Jonathan Heistein has 2 Gynecomastia Reduction before & afters:

Gynecomastia Reduction before image performed by Dr. Jonathan HeisteinGynecomastia Reduction after image performed by Dr. Jonathan HeisteinGynecomastia Reduction before image performed by Dr. Jonathan HeisteinGynecomastia Reduction after image performed by Dr. Jonathan Heistein

» View Dr. Jonathan Heistein's full profile

If you have truly experienced glandular development as opposed to an increase in chest fat, body fat, or fat cells, male breast reduction surgery is the only effective solution. If, on the other hand, you are experiencing fluctuations in breast size due to weight changes, you may have pseudogynecomastia. In this case you may respond well to dieting and/or exercising on a regular basis. Contact a plastic surgeon to find out which scenario applies to you.

Gynecomastia is evaluated by first ruling out medical causes of male breast enlargement, including:

  • Steroid use, whether for bodybuilding or medical indication
  • A history of pituitary gland dysfunction or tumors, which might secrete hormones like Prolactin, which cause breast enlargement
  • Problems with the adrenal glands and testosterone production
  • Masses in the breast, including rare incidence of male breast cancer

We usually examine the patient and send for labs/studies as appropriate to rule out a medical cause based on index of suspicion. Almost all of the time, the testing is negative. If the testing showed something like a pituitary tumor or if we found out you are on anabolic steroids, there may be non-plastic-surgery treatments. But in general, since these tests are usually negative, surgery is the answer.

Gynecomastia management starts with a history and physical exam, followed usually by some lab testing. A mammogram may be ordered if there is a significant family history of breast cancer. The surgeon will assess the degree of breast fat and gland enlargement, the overhang of the breast (if any), and the skin elasticity or looseness. These factors help determine which surgical approach or incisions are required. There is a grading system based on how much overhang there is and the degree of enlargement.

The male gynecomastia procedure can range from liposuction done through an incision around part of the nipple-areola complex, along with a few small inconspicuous puncture sites near the side of the breast, to a full, inverted-T “anchor” pattern of incisions in patients with more severe enlargement of overhang. At right is an example of an approach to the breast that combines removal of tissue, lifting of the nipple, and correction of overhang.

The most common approach in men with mild to moderate gynecomastia is a semicircular periareolar incision (similar to the nipple approach to breast implant placement in women), with direct removal of tissue supplemented by Vaser-assisted liposuction.


Check out our gynecomastia information page here:

http://www.timsayedmd.com/plastic-surgery-men-newport-beach/gynecomastia/

We would be happy to privately share before and after photos of male gynecomastia patients if you decide you want to fill out our new patient intake information and set up a consultation.


-- Dr. Sayed


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