Gynecomstia is not an easy subject for men to talk about. So I’ll do all the talking and hopefully make it easier for the 40-60 percent of men suffering from this disease to take action and erase the taboo surrounded by this topic. Gynecomastia is a hormonal imbalance caused by a lack testosterone or increased level of estrogen in the body. This hormonal imbalance could also be caused by an underlying issue such as a disease, drugs, hormonal changes in the body or it could be hereditary. Moreover, gynecomastia can affect men of all ages. Symptoms of gynecomastia include: excess fat around the breast tissue, excess breast glandular tissue development or a combination of both, tenderness, pain and inflammation of the breast tissue.
Don’t worry if you suffer from gynecomastia or if you think you could be diagnosed – there are plenty solutions to choose from which you can talk over with your doctor and see which one is the right choice for you. Here’s a rundown of the treatments available.
Gynecomastia Treatments
Medications
There are several medications that can help with this gynecomastia. Most medications used to treat gynecomastia actually treat the hormonal imbalance, the main cause of this disease. Such medication includes tamoxifen and raloxifene. Both are antiestrogens, or estrogen receptor modifiers and which also help treat the pain and size of the breast caused by gynecomastia. Astrozole is another medication that could be prescribed to you that stops the creation of estrogen in the body in order to balance out the hormones in the body. Medication should always be taken cautiously due to the adverse reactions associated with the medication and a doctor should closely monitor this type of treatment.
Surgery
Surgery is the most effective treatment to get rid of the physical aspect of gynecomastia. Depending on your symptoms, a doctor may perform a liposuction to remove the excess fat surrounding the tissue, or
a full mastectomy if the main problem is excess glandular tissue. Both surgeries are performed endoscopically, meaning a less invasive surgery with less recovery time (one week downtime) since only small incisions are used. Both types of surgeries take about two hours and require general anesthesia. Pain killers as well as an antibiotic is prescribed to prevent infection A compression shirt is used during recovery. The results due to surgery are permanent unless future excess weight is gained and fat gets stored in the breast area.
Compression Vest
A compression vest or shirt offers a immediate physical results, however, it only hides the symptoms, it does not treat the symptoms or the underlying causes of gynecomastia. The compression vest hides the physical alternations to your breast tissue and muscle. The vest is comfortable and non-restricting and it has the main advantage of instantaneously covering the appearance of gynecomastia, however, it does not alleviate the real symptoms of the condition.
For more information about the condition, Gynecomastia, or to schedule a consultation with Gynecomastia surgeon Dr. Steinbrech in the New York City area, please contact us at: 646-949-0130.
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Douglas S. Steinbrech, M.D., F.A.C.S. is a plastic and reconstructive surgeon that specializes in male aesthetics. Dr. Steinbrech is certified by the American Society of Plastic and Reconstructive Surgeons and a diplomate of the American Board of Plastic Surgery. 
