Gynecomastia is breast growth in men or boys, caused by an imbalance of the hormones estrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly.

Pseudogynecomastia refers to imbalances of growth in fat but not glandular tissue in male breasts. Newborns, boys going through puberty and older men may develop gynecomastia as a result of normal changes in hormone levels, though other causes also exist.


Generally, gynecomastia isn’t a serious issue, but it can be tough to cope with the condition. Men and boys with gynecomastia sometimes have pain in their breasts and may not feel confident due to physical appearance.

Gynecomastia may clear off on its own. If it persists, medication or surgery may help.


Most cases of gynecomastia resolve over time without treatment. However, if gynecomastia is caused by an underlying condition may need treatment. Examination and ultrasound for gynecomastia are necessary for the planning of diagnosis and treatment. Before surgical treatment, it is evaluated whether the patient has an underlying hormonal disorder. Treatment options are specified according to the type of gynecomastia. Medical treatments are arranged according to the patient’s age, hormonal level and underlying medical reasons.


Surgery is the most efficient and certain method of treating gynecomastia. According to the classification of gynecomastia, different surgical methods are used. In glandular type gynecomastia, hard breast tissue is denser and needs to be surgically removed. In mixed-type gynecomastia, there is outgrowth of glandular tissue and adipose tissue. Besides surgery, with the Pull-through technique, closed surgery can attain more natural results without scars and wrinkles. Liposuction is sufficient for fatty type gynecomastia because the adipose tissue is in weight. The operation time takes about 1 hour and is performed under general anesthesia. The average length of stay in the hospital is 1 day.