- F.A.Q about breast reduction for those with gynecomastia
- F.A.Q about causes of gynecomastia
- F.A.Q about diagnosis of gynecomastia
- F.A.Q about gynecomastia breast reduction treatment options
- F.A.Q about gynecomastia breast reduction supplements
- F.A.Q about gynecomastia surgery
- F.A.Q about breast reduction in teenagers
- F.A.Q about pseudogynecomastia
- F.A.Q about breast reduction for steroid users
- F.A.Q about man boobs
Breast reduction among men is one of the fastest growing areas in cosmetic surgery. According to available statistics, breast reduction surgery was the most done procedure by plastic surgeons in 2015 . The topic of beast reduction used to be taboo among men but not anymore. Be it breast reduction for gynecomastia (breast tissue) or pseudogynecomastia (also called lipomastia or adipomastia), the numbers are only increasing [2,3].
What is gynecomastia ?
Breast enlargement in men can be caused by a number of underlying factors . Gynecomastia is a medical condition that causes breast enlargement in adult men due to the presence of excessively grown breast tissue behind and around the areola (nipple) . Breast tissue growth happens and disappears when a male is in his infancy as well as during adulthood and these are not gynecomastia. Gynecomastia is when there is presence of excessive breast tissue even as men enter adulthood .
What causes gynecomastia ?
Gynecomastia can be caused by a number of reasons but as the saying “all roads leads to Rome”, almost 99% of cases of gynecomastia can be traced back to excess production of estrogen caused by a negative feedback loop [7,8].
Gynecomastia can also be caused as aside effect of medical conditions, drug side effects, unintended side effects of drugs as well abuse of drugs like marijuana . Again, whatever the causes are, it always creates excess estrogen that leads to development of breast tissue . Take a look at our dedicated page about the causes of gynecomastia for detailed information.
What is the difference between gynecomastia and a normal chest ?
Gynecomastia is characterized by the presence of excessive breast tissue leading to enlarged breasts in men. So there is difference in the composition and ratio of the amount of breast tissue. A normal male chest will not have excessive breast tissue growth or breast enlargement. Depending upon the grade, the external appearance will also differ. For example, someone with grade 4 gynecomastia will have feminine looking breast structure and appearance. Take a look at this illustration showing the difference between gynecomastia and normal chest. [10,11]
Is gynecomastia dangerous or a threat to my health ?
Gynecomastia is considered as a benign (growth that is not cancerous) condition my the medical community . However, it can become life threatening when it is caused as an after-effect of another serious medical condition . So the answer is generally no but sometimes yes. It is best left to a medical professional preferably, a doctor specializing in gynecomastia to make the call.
What are the different grades of gynecomastia ?
The American Society of Plastic Surgeons has classified gynecomastia into four grades based on breast enlargement and feminization of the breast . Grade 1 is considered negligible and grade 4 the highest in terms of breast enlargement and feminization warranting breast reduction. You can see an illustration of the grades and what they mean from the illustration below.
The A-Z guide to gynecomastia has detailed information on these grades and what treatment options are available to get rid of gynecomastia.
What is the difference between gynecomastia and pseudogynecomastia ?
Gynecomastia is breast enlargement in men caused as a result of the presence of excessive breast tissue . Pseudogynecomastia is breast enlargement in men caused as a result of fat accumulation behind and around the areola or nipple. Both look pretty much the same for the beholder .
How to know if I have gynecomastia ?
Men with gynecomastia will have breast enlargement and depending upon the grade will also have a sturdy mass behind and around the areola. Now this is just for informational use and ALWAYS CONSULT A DOCTOR preferably, a surgeon specializing in breast reduction for men and he/she will be able to do a proper physical examination and confirm that what you have in fact is gynecomastia. If you want to know the classic way how doctors ascertain the presence of gynecomastia, take a look at the diagnosis of gynecomastia section.
Are there medical conditions that can cause gynecomastia ?
Yes there are medical conditions that can cause gynecomastia. Some of them are Klinefelter Syndrome , Hyperthyroidism [17,18], Kidney Failure [19,20] and Malnutrition . The root cause is however, production of excess estrogen that happens as a result of developing these medical conditions . This is not a complete list and certain other medical condition can also have a direct or indirect causal connection to gynecomastia. Read more about the medical conditions that can cause gynecomastia.
Can gynecomastia develop from the medications you use ?
Studies have proved that the medications you use can cause gynecomastia. Alkylating agents, Bicalutamide (Casodex), Cimetidine (Tagamet), Cisplatin, Flutamide, Isoniazid, Ketoconazole, Methotrexate, Metronidazole (Flagyl), Omeprazole (Prilosec), Penicillamine (Cuprimine), Ranitidine (Zantac), Spironolactone (Aldactone), Anabolic steroids and Diazepam (Valium) are some of the medications that have been known to the medical community to directly or indirectly cause gynecomastia [5,21]. Take a look at the medications that cause gynecomastia chart to get a complete picture.
Which doctor should I see for gynecomastia ?
This really depends upon your particular situation. If you want to confirm whether you have gynecomastia or just chest fat, your family physician or a general physician can do it. If you have found that you have gynecomastia and if you think that you have a very high level of estrogen in your body, you should see an endocrinologist who will be able to investigate on that regard. If you would like to talk about getting rid of gynecomastia through surgery, you should be seeing a doctor who specializes in gynecomastia surgery.
Can I get rid of gynecomastia naturally without supplements or surgery ?
There is no known way to permanently get rid of gynecomastia without using supplements or surgery but there are steps that you can take in addressing the root cause of gynecomastia which is excess estrogen presence in the body. The food that we eat are one of the sources of excess estrogen and you can control the amount of food items that have high estrogen content. Take a look at the list of common food items that have a high level of estrogen to learn more.
What are the main treatment options to get rid of gynecomastia ?
The two options for permanent breast reduction due to gynecomastia are gynecomastia supplements and gynecomastia surgery [2,3,4,5]. If you just want to temporarily hide your saggy chest, then compression shirts will be your logical option. Secondary options that supplement gynecomastia supplements and gynecomastia surgery are following a low-estrogen diet and doing workouts that target the chest. For detailed information, read our resource page on gynecomastia treatment options.
Who should I see for breast reduction treatment ?
Your best bet is to get a consultation with a doctor specializing in the treatment of gynecomastia. Your GP or family physician will be able to guide you in the right direction but it is recommended that you see a specialist. NEVER self diagnose because the first and foremost step is to make sure that what you have is in fact gynecomastia. This can reliably be done only by a trained medical professional.
As someone having gynecomastia, what is the cheapest option for breast reduction ?
For temporarily hiding your enlarged breasts, your cheapest option will be to go for compression shirts. All major brands these days have compression shirts and they are very good at what they do albeit temporarily. Compression shirts costs anywhere from $20-60. If you are looking to permanently get rid of gynecomastia, the cheapest option is to use a gynecomastia supplement. One month supply costs approximately $70. For more information, go through our dedicated page on compression shirts as well as gynecomastia supplement review page.
What is the most expensive and high-end treatment option available for gynecomastia breast reduction ?
Gynecomastia surgery is the expensive and high-end treatment option for breast reduction and is done by a surgeon specializing in the treatment of gynecomastia [10,22]. One of the main advantages of going for surgery is that the surgeon will make sure that you get best chest contours. This is also the most fastest way to get rid of gynecomastia. Read our gynecomastia surgery page for more details.
What are the main advantages and disadvantages of compression shirts ?
The main advantage of compression shirts is that, the effects are instant as well as affordability. The main disadvantage of compression shirts is that the effect is only temporary and only suits for formal outings. At the same time, by using a compression shirt you will be able to get a foretaste of what your chest will look from the outside once you get rid of it permanently. So compression shirts are in that sense an ideal alternative for those who are on the fence about doing something for breast reduction. Take a look at our dedicated page for compression shirts for more information.
What are the main supplements available in the market for gynecomastia breast reduction ?
The market for gynecomastia supplements is dominated by two products namely Gynexin and Gynectrol. Both follow almost the same formula with one being proprietary blend and the other, an open blend. You can read a comprehensive review of both these supplements along with side by side comparison of all other aspects at our Gynecomastia Supplements Review page.
What are the main advantages of a gynecomastia breast reduction supplements ?
The unique selling point of gynecomastia breast reduction supplements are that, they do not involve any pain or stitches as in the case of gynecomastia surgery. Gynecomastia supplements also cost only a fraction of surgery. To understand the math more clearly, consider that gynecomastia surgery cost approximately $7000  whereas, one month supply of the popular gynecomastia breast reduction supplement Gynexin cost $70.
What is the main advantage of gynecomastia surgery ?
The main advantage of gynecomastia surgery is that breast reduction is almost 100% guaranteed . Gynecomastia surgery is also the fastest option to get rid of gynecomastia . A trained gynecomastia surgeon will also work with you to get you the best chest contour possible . For some individuals who cannot achieve optimum results after using gynecomastia supplements, gynecomastia surgery is the only available logical option . Read our dedicated page for gynecomastia breast reduction surgery to learn more.
What are the disadvantages associated with gynecomastia breast reduction surgery ?
First and foremost, there is absolutely no disadvantage whatsoever associated with gynecomastia surgery itself. The disadvantage that I am talking about is in terms of the cost of surgery as well as the time you need to be away from home or work during surgery. Surgery also involves a few minor cuts and stitches that some will find hard to cope with.
What is the cost of gynecomastia surgery ?
By the time you are out of the hospital or the surgical facility where you have your gynecomastia breast reduction surgery, you are looking at paying a bill of anywhere between $6000-8500 . The final bill will depend upon where you have your surgery done, the profile of the surgeon as well as whether the surgery required any other medical tests out of the ordinary. Read more about the factors associated and a breakdown of the cost here.
Is gynecomastia breast reduction surgery covered under regular medical insurance ?
The short answer is yes and no. When gynecomastia occurs as a result of an underlying life-threatening medical condition, it is covered under medical insurance . On the other hand, when gynecomastia surgery is done for purely cosmetic or psychological reasons, coverage is denied . There are three main eligibility requirements to get coverage for gynecomastia breast reduction surgery. Take a look at our insurance coverage for gynecomastia surgery page for detailed information including a list of all insurance companies and their terms for coverage.
Why insurance companies seldom cover breast reduction surgery ?
Approving coverage for breast reduction surgery will be akin to opening a Pandora's box and insurance companies will be hit by a barrage of all kinds of requests for plastic surgery from head to toe. From a medical point of view, breast reduction surgery does not cure anything and is not something that needs to be given priority.
What are my options if insurance coverage is denied for breast reduction surgery ?
If insurance coverage is denied for breast reduction surgery, there are a number of options you can look at. First, you can pay it out of your pocket if you can and if that is out of the question, there are a number of credit cards that are specifically in the market for medical expenses including breast reduction surgery. There are also a number of companies that finances cosmetic surgery. Take a look at our dedicated page for gynecomastia surgery financing to know more about your available options.
I am a teenager and why do I have breast enlargement ?
Breast tissue growth happens during three times in the life span of a male. These three periods are infancy, adolescence and old age . The breast tissue growth that you are experiencing is directly related to the breast tissue growth that happens in adolescence . This is called pubertal gynecomastia . Take a look at our dedicated resource on breast development in teenagers.
Why do I have breast tissue growth as a guy ?
Adolescence and puberty are times when your body undergoes a lot of changes . This is also the final stage of gender confirmation and at this time, your body will have a lot of testosterone and estrogen as a result. In simple terms, breast tissue growth occurs due to this see-saw pattern of hormones. The excess production of estrogen which is natural causes breast tissue growth . This is your body's way of doing house keeping its own way and you do not have a choice.
Am I an exception among my peers with this breast tissue growth ?
Nothing could be farther from the truth. According to available statistics, 1 out of 3 teenagers who go through adolescence will have some level of breast tissue growth [29,30,31]. Say for example, that there are 60 boys in your class and 20 out of these 60 are likely to have breast tissue growth as you have.
What can I do for breast reduction as a teenager ?
We've got good news for you young man!. In normal circumstances, this excess breast tissue will go away as you enter adulthood and your chest flattens out in just a few years. Your little bit of breast tissue growth is natural and you don't need to bother much about it. This is NOT PERMANENT [29,30,31]. You should see it starting to go away in the next few years. You do not need to do any treatment for breast reduction.
Does using drugs cause gynecomastia ?
You don't have to take our word on this but according to doctors like Ran D. Goldman, MD, who authored an April 2010 study, “Drug-induced gynecomastia in children and adolescents,” that was reported in the reputed journal, Canadian Family Physician journal, drug-induced gynecomastia is common and may be held responsible for a quarter of all cases, including gynecomastia in teenagers . The National Institutes of Health’s (NIH) medical website also lists marijuana as drug that has the potential to cause gynecomastia. Avoid drugs like the plague because they are a one way ticket to gynecomastia.
I need more reassurance that this will go away. Who can I talk to ?
If you are concerned about your breast enlargement, by all means go a see a doctor. Your family doctor or a general physician will be able to clarify questions about breast enlargement and gynecomastia. If you want to go one step ahead, get an appointment for a doctor who specialize in breast reduction and he will be able to put your mind in peace.
Can I do some thing for breast reduction ?
First things first! Make sure that what you have behind your enlarged breasts is in fact gynecomastia (breast tissue growth) and not pseudogynecomastia (accumulation of chest fat) . If you are overweight or obese, your chest will also have a proportional amount of pectoral (chest) fat and this is where you can do something for breast reduction. This type of breast enlargement caused by chest fat is entirely different than gynecomastia. You can use a high potency fat burner along with doing workouts specific for the chest. Take a look at our dedicated page on workouts to lose chest fat for more information. Again, these are not for gynecomastia but only if your breast enlargement is caused by chest fat accumulation.
What is pseudogynecomastia ?
Breast enlargement in men can be caused by a number of underlying factors. When breast enlargement is caused by accumulation of fat under and around the areola, it is called pseudogynecomastia . Pseudogynecomastia manifests pretty much the same as gynecomastia and looks the same for the beholder. Take a look at our dedicated page for pseudogynecomastia page to know further aspects of this type of breast enlargement.
What are the available options for breast reduction in the case of pseudogynecomastia ?
What is the least expensive option for pseudogynecomastia ?
The cheapest option would be compression shirts that will temporarily hide your saggy chest. If you are looking at the cheapest option to permanently get rid of pseudogynecomastia, it will be supplements that burn off chest fat. It is highly recommended that you try to lose some chest fat even if you are opting for surgery because if you have a high level of BMI, you will be asked to lose some weight and pectoral fat before undergoing surgery.
Can I simply workout for my chest and lose chest fat or pseudogynecomastia ?
Yes you can opt to not use a chest fat burner and simply workout to lose your chest fat but that will take much more time. The main advantage of using a supplement that complements your workout is that it gives you a huge dose of confidence when you start to see fast results. If you cannot afford the cost of the supplement or if you are allergic to any of the ingredients, then by all means start with working out and you should see results in about 2-3 months. A combination of workouts to lose chest fat along with a supplement that specifically targets chest fat is the best non-surgical option for pseudogynecomastia breast reduction. Read our dedicated page for workouts to lose chest to know the specific workouts for this.
What is the most expensive treatment option for pseudogynecomastia ?
Breast reduction surgery is the most expensive treatment among the available options to get rid of breast enlargement. The surgical technique used to remove fat from behind and around the (areola) nipples is called liposuction . However, if you highly obese, most doctors would still want you to first go back and lose some weight before you come for surgery. This is necessary as it helps them to calculate the chest contour. A plastic surgeon would be the person you would want to see for this.
What is the cost of pseudogynecomastia surgery ?
The cost of pseudogynecomastia breast reduction surgery is more or less the same as that for gynecomastia surgery . The classification of breast enlargement in men strictly into gynecomastia and pseudogynecomastia is mostly for the sake of clarity. In majority of the cases, breast enlargement is caused by breast tissue growth as well as fat accumulation and as such, surgeons will use a combination of techniques . You are looking at anywhere between $6000-8500 by the time you come out of the hospital/surgical facility . Take a look at the dedicated page for surgery cost to see a breakdown of the bill.
Is pseudogynecomastia surgery covered by medical insurance ?
Pseudogynecomastia surgery is considered as purely a cosmetic procedure and as such, is not covered by any major insurance providers . Your chances of getting your insurance company pay for it are next to none. This is also one of the main roadblocks for men who want to get rid of pseudogynecomastia through surgery. However, there are a number of financing options available. For a detailed guide on available financing options take a look at our dedicated page about gynecomastia surgery financing options. If you are willing to be active and workout, then a supplement exclusively developed to burn chest fat will help you to get rid of pseudogynecomastia at a fraction of the cost of surgery.
How does gynecomastia occur among anabolic steroid users ?
When steroids enter the body, they disrupt the testosterone (male hormone) - estrogen (female hormone) balance and as a result, the ratio of estrogen increases to very high levels . During the time of cycling with steroids, this does not become a major issue but once the cycle is off, the excess estrogen will lead to breast tissue development and this causes gynecomastia . There are a number of other factors that come into interplay in the process but this is what happens on a fundamental level. Take a look at our gynecomastia among steroid users page for detailed information.
Is prevention of gynecomastia possible among steroid users ?
Gynecomastia is 100% preventable among those who cycle with steroids provided that they flush it using post cycle therapy . Using steroids is not the issue rather, the unsystematic use of steroids without addressing its side effects is what causes gynecomastia. Post cycle therapy is a process of using pharmacological agents or their equivalent to control and mitigate the effects of excess estrogen production. You can prevent gynecomastia by using a properly dosed PCT supplement that includes an SERM & AI along with a testosterone booster .
Are there any side-effects for SERM's & AI's ?
SERM's & AI's in their original pharmacological form can have a number of side effects and varies from person to person [36,37]. Some of the side-effects are nausea, headaches, discomfort surrounding the chest area, change in mood and acne. Not all side effects are experienced by everyone and some only experience them on a negligible level. It is also not possible to legally buy good quality SERM's & AI's as they are only available with a prescription. The best option is to get a PCT supplement that has the equivalent potency of SERM's & AI's.
Where do I buy post cycle therapy (PCT) supplements ?
A proper and comprehensive post cycle therapy (PCT) must include a SERM (selective estrogen receptor modulator), an AI (aromatase inhibitor) and a Testosterone Booster . Now here is the problem, SERM's and AI's in their original form requires a prescription and cannot be bought online from clean sources [39,40]. However, there are a number of supplements that have ingredients equivalent to SERM's and AI's. They are safe, does not require a prescription and has the same effect. As for testosterone boosters, you do not need a prescription. If you are interested in getting the best prescription grade PCT components, take a look at our post cycle therapy for gynecomastia page.
What about online stores that sell SERM's & AI's for breast reduction for steroid users ?
According to law in the United States, SERM's (selective estrogen receptor modulator) and AI's (aromatise inhibitor) cannot be sold without a prescription from a medical professional. However, there is a loop hole in the same law that allows selling them for research use. All these online pharmacies that sell SERM's (selective estrogen receptor modulator) and AI's (aromatise inhibitor) are using this loop hole as a cover. You are first of all breaking the law and secondly, there is absolutely no way for anyone to make sure that you are getting a genuine and safe product. If something wrong happens like that of with the use of a contaminated product, you are on your own.
Do you recommend any PCT supplements ?
There are three main integral components of a properly executed post cycle therapy if it is to give the intended results. It has to have a SERM, an AI and a testosterone booster [38,39,40]. We recommend a multi-modal (SERM, & AI combined) PCT supplement along with a standalone testosterone booster for maximum impact and effectiveness. You can see our recommendations on our dedicated page for post cycle therapy.
What is man boobs ?
Man boobs is basically a slang in pop culture for breast enlargement in men. It has no connection with the medical dictionary. When people say man boobs, the simply mean a man's enlarged breasts. Breast enlargement in men can be caused by excess breast tissue growth or accumulation of pectoral fat behind and around the areola (nipples). The former is called gynecomastia and the latter is called pseudogynecomastia . The term man boobs is the starting point for most of the public and from there, they would identify it as gynecomastia or pseudogynecomastia. Our dedicated page for man boobs has A-Z information.
How do I diagnose man boobs ?
Now that you know (from the Q&A just above), man boobs basically means breast enlargement in men, the next logical step is to find what type of man boobs you have, whether it is man boobs caused by excessive breast tissue (gynecomastia) or chest fat (pseudogynecomastia). Never self-diagnose and always seek the help of a trained and qualified medical profession preferably a doctor specializing in breast reduction. For more information about the classic technique that doctors use to differentiate between different types of man boobs, check the difference between gynecomastia and pseudogynecomastia page.
What treatment options are available for man boobs ?
Breast reduction treatment options for man boobs depend upon the type of man boobs you have. For temporarily hiding your man boobs, you can use a compression shirt. If you are looking at permanently getting rid of man boobs without surgery, you have supplements specifically developed for gynecomastia and fat burners that specifically target pectoral fat. Breast reduction surgery is also different for gynecomastia and pseudogynecomastia in terms of some aspects including the surgeon's approach and the surgical procedures used . Before looking at treatment option for man boobs, the logical step would be to find the type of man boobs you are having.
If you still have a question or would like to know more about a particular aspect of gynecomastia, we have the world's largest database/knowledge-base of question and answers about gynecomastia and you will most likely find the answer for your question there. We also have a forum where you can post your questions and you can also send us your query through the contact form. Before sending us your questions through the contact form, make sure you have searched in our public database as well as in the forums.