Gynecomastia (MALE Breast Reduction)
Male breast enlargement may occur soon after puberty as result of the imbalance of estrogen and testosterone. Gynecomastia is more common in overweight children since fat cells predispose the body to higher estrogen levels. Treatment is first optimized medically with weight loss and possibly hormone therapy. Our pediatric endocrinologists may offer medication to decrease estrogen levels potentially reversing the growth of breast tissue.
When severe, or irreversible, the breast tissue can be removed surgically during an outpatient procedure. Scars around the nipple and/or underneath the breast may be used to access the tissue for removal.
When very severe, a mastectomy with a free nipple graft, replacing the nipple in a new position may be required.