Some cases of Gynecomastia are secondary to a normal pattern of a young man’s chest development. These cases usually develop at the onset of puberty, and usually abate by age 20. Gynecomastia can also develop in otherwise healthy males. Causes can include increased production of estrogen (female hormone), decreased production of testosterone (male hormone), or certain drugs. Men who have used anabolic steroids are also at risk. Other less common causes include the drugs: alcohol, marijuana, spironolactone, cimetidine, some anti-depressants. Gynecomastia may also be an early sign of liver disease. Nevertheless, most cases will have no obvious underlying cause.
The majority of boys who do develop gynecomastia will never require any treatment, as the condition will slowly resolve with time. For patients who aren’t so fortunate treatment is readily available. Treatment typically consists of removing the redundant breast tissue and fat by a combination of direct excision and liposuction. After Dr. Parson has completed his examination he will be able to develop a specific surgical approach that is unique to each patient. Incisions are typically very small and can be hidden by the areola. In cases of more severe gynecomastia excessive skin may also need to be removed. This will necessitate larger scars being placed by Dr. Parson.