Living with Gynecomastia: What Men Should Know.


Have you ever thought about why some men have breast tissue? Gynecomastia, also known as "man boobs," is more than a beauty issue. It's a condition that affects both physical and emotional health. Understanding it is key to managing it better and improving life quality.

Key Takeaways

  • Gynecomastia is not just a cosmetic issue; it can lead to discomfort and emotional distress.
  • This condition affects over half of boys during puberty and a significant number of adult men.
  • A variety of factors, including hormonal imbalances and certain medications, can cause gynecomastia.
  • Proper diagnosis and personalised treatment plans are crucial for effectively managing gynecomastia.
  • Living with gynecomastia may require physical, emotional, and sometimes surgical interventions.

Understanding Gynecomastia

Gynecomastia is a condition where male breast tissue gets bigger. It can happen at any age, especially during big hormonal changes like in infancy, puberty, and old age.

What is Gynecomastia?

Gynecomastia happens when estrogen and testosterone levels get out of balance. This leads to the growth of breast tissue in males. It often shows up as swollen breasts, which might go away on its own, especially in boys going through puberty. Even though it's not linked to breast cancer, doctors might do tests to check for it. These tests can include blood and urine tests, a mammogram, and sometimes a biopsy.

Treatments can be hormone therapy, medicines, or surgery to remove extra tissue.

Causes of Gynecomastia

Gynecomastia is caused by more than just hormonal imbalances. It can be due to medical conditions, some medicines, and lifestyle choices. About 25% of cases are linked to medicines like anti-androgens, anabolic steroids, antidepressants, and heart medicines. Using drugs like marijuana and alcohol can also cause it. Plus, diseases like liver or kidney problems, thyroid issues, and certain cancers can lead to gynecomastia. To manage it, you need to fix the underlying causes to stop it from coming back.

Who is Affected?

Gynecomastia can happen to newborns, boys going through puberty, and older men. In babies, it's common due to estrogen effects during pregnancy, and it usually goes away in a few years. In teens, it often clears up on its own within a couple of years.

In adults, especially those over 50, it's more common due to hormone changes with age. About 24% to 65% of men in this age group get it. It also affects many bodybuilders who use anabolic steroids.

Age GroupPrevalence (%)Common Causes
Newborns50+Effects of maternal estrogen
Pubescent Boys65Hormonal changes
Adults (50-80 years)24-65Natural hormone changes

So, can a man live with gynecomastia? Yes, with the right diagnosis and treatment, it's possible to live a healthy life with it. Men with gynecomastia should talk openly with their doctors to understand their condition and find the best treatment.

Can a man live with gynecomastia?

Living with gynaecomastia can be tough for men. It affects how they look and how they feel inside. Yet, it's possible for a man to manage with gynaecomastia. It does affect their life quality, though.

Men might avoid showing their chest in public, like at the beach or in swimming pools. But, surgery for gynaecomastia can help. It lets them enjoy these activities without feeling embarrassed.

"Men who undergo gynaecomastia surgery often report increased self-confidence, especially in situations where they need to expose their chest, such as in locker rooms, at the beach, or during intimate moments."

New dads often get treatment for gynaecomastia. They want to be with their kids at the pool or beach without feeling self-conscious. Surgery makes family time more fun for them.

Working out can be hard with gynaecomastia too. Some men hide under extra clothes. They don't think workouts will make their chest look better. Some also feel pain or discomfort from the extra breast tissue.

Some men even change how they stand to hide their gynaecomastia. This can cause back pain and stress. Tight clothes or tape might help hide it. But surgery can fix these issues, easing their worries about how they look.

Gynecomastia Surgery Success RateHighly effective, with the majority of patients experiencing an improvement or complete disappearance of concerns.
Common Post-Surgery BenefitsIncreased self-confidence, especially in public and intimate settings.
Patient MotivationMen seek treatment to engage more openly in family or social activities and reduce psychological distress.
Impact on LifestyleEnhanced quality of life, enabling participation in physical and social activities, and improved overall self-image.

Dr. Shaw says there's no shame in getting help for gynaecomastia. It's a common issue. Getting treatment can greatly improve life. Surgery or other methods can help men feel better about themselves, letting them live more freely.

Physical Symptoms of Gynecomastia

Gynecomastia affects about 35 to 40 percent of healthy men at some point. It shows through physical changes and symptoms. It's important to notice these signs to manage gynaecomastia well.

Visible Changes

The visible symptoms of gynaecomastia include a swollen chest area with a lump under the nipple. You might also notice puffiness around the areola and longer nipples. These signs are easy to spot and can worry many people.

Possible Pain or Discomfort

Some cases of gynecomastia don't hurt, but it can be painful or uncomfortable. This pain can be mild or severe, making daily life harder. There are treatments like medicine or surgery to ease the pain and improve the chest shape. These help in managing gynaecomastia and improve well-being.

Knowing about these symptoms and discomfort helps in finding the right treatment. It also helps in keeping a healthy lifestyle.

Emotional and Psychological Impact

Living with gynaecomastia can deeply affect men emotionally and psychologically. It affects up to two-thirds of men, causing a heavy emotional load.

Self-Esteem Issues

The condition's psychological impact is huge, with 94.8% of patients feeling stressed. Seeing changes in their chest makes men feel ashamed and embarrassed. This can really hurt their self-esteem, making them avoid social situations and activities they loved.

They might start avoiding intimacy, wear baggy clothes, and lose interest in activities. This shows how hard it is to deal with gynaecomastia.

Social and Intimate Relationships

Gynaecomastia also affects social and intimate relationships. Men might feel awkward at social events like the beach or swimming pools. This makes them feel isolated and lonely in intimate moments.

Fricke et al. say it's key to tackle these emotional issues before and after surgery. They found big improvements in emotional well-being and freedom after surgery. Spotting and dealing with these feelings early can prevent long-term harm and boost life quality.

Emotional DiscomfortHighLow
Physical LimitationsSignificantReduced
Pain LimitationsMarkedDiminished

Treating gynaecomastia with lifestyle changes and surgery can boost mental health and life quality. Men see big improvements in self-esteem, body confidence, and freedom after surgery. Dealing with gynaecomastia means making physical changes and getting support from loved ones and doctors.

Different Types of Gynecomastia

Gynecomastia comes in different forms, each needing its own approach to diagnosis and treatment. It includes true gynecomastia and pseudogynaecomastia, each with its own set of characteristics and treatment plans.

True Gynecomastia

True gynecomastia is when glandular breast tissue grows too much. This often happens because of hormonal imbalances, like too much oestrogen or not enough testosterone. It can also be classified into three types:

  • Florid Gynecomastia: Seen in young men, it's an overgrowth of glandular tissue.
  • Fibrous Gynecomastia: More common in older men, it's an excess of fibrous tissue.
  • Intermediate Gynecomastia: Linked to chronic liver disease, showing traits of both florid and fibrous types.

This condition can affect anyone, but it's most common in boys and men. It's usually harmless but can make people feel bad about themselves. Surgery like mastectomy or liposuction is often used to treat it, especially if the gland tissue is very big.


Pseudogynaecomastia is when fat builds up in the breast area, without glandular tissue growth. It's more common in men who are overweight or obese. The main cause is too much fat in the subcutaneous tissue.

For those with pseudogynaecomastia, losing weight and exercising can help. But for tough cases, breast liposuction might be suggested to remove the extra fat. This condition doesn't involve the same hormonal issues as true gynecomastia, so treatment is different.

Gynecomastia TypeCharacteristicsTreatment Options for Gynaecomastia
True GynecomastiaGlandular tissue overgrowth, hormonal imbalancesSurgical removal (mastectomy), liposuction combined with tissue excision
PseudogynaecomastiaExcess fatty tissue, common in overweight menWeight loss, exercise, liposuction

It's important to know the difference between true and pseudogynaecomastia to choose the right treatment. This helps people get relief from both physical and emotional issues.

Diagnosis and Consultation

First, doctors check for gynecomastia with an initial evaluation. This step is key to spotting the condition and excluding other issues like fatty breast tissue or cancer. Spotting it early helps in managing and treating it well.

Initial Evaluation

The first check-up includes a full physical exam and looking at the patient's health history. Doctors look at the breast tissue to tell if it's real gynecomastia or just extra fat. They might also test hormone levels to see if testosterone and estrogen are balanced. Sometimes, they use mammograms or ultrasound to look deeper and make sure they're right.

Consultation with a Specialist

After the first check, seeing a specialist is important for a closer look. Experts like Dr. Craig Shaw at the Chimera Clinic can assess the situation and suggest the best treatment. They consider the patient's age, health history, and how bad the gynecomastia is. They might use tests like mammograms, CT scans, and MRI scans to be sure of the diagnosis.

Choosing the Right Treatment Plan

Choosing the right treatment means working together with the specialist. The options depend on what caused the gynecomastia and how bad it is. For some, just non-surgical treatments work, like if it's due to puberty or medicine side effects. But for more serious cases, surgery might be needed. Joining support groups can also help with the emotional and mental side of dealing with gynecomastia.

Evaluation AspectDescriptionCommon Methods
Physical ExaminationAssessing the breast tissue to determine if it's true gynecomastia or fatty tissueManual palpation, visual assessment
Hormone Level TestsIdentifying imbalances in testosterone and estrogenBlood tests
Imaging TestsExploring underlying causes and differentiating conditionsMammograms, Ultrasound, CT scans, MRI scans

Treatment Options for Gynecomastia

Gynecomastia is when male breast tissue gets bigger. It affects many men. Studies show it happens to 32 to 65 percent of males. There are surgical and non-surgical ways to treat it. The best method depends on the person's condition and what they prefer.

Surgical Options

Surgery is often the best choice for removing glandular tissue. It's recommended for true gynecomastia cases. The main surgical methods are:

  • Liposuction: This uses a vacuum to suck out fat or glandular tissue. It works well for fat-related issues.
  • Excision Technique: This involves cutting to remove tissue. It's good for complex cases needing gland removal or nipple repositioning.
  • Combined Techniques: Some people get both liposuction and excision for the best results. This removes fat and glandular tissue fully.

Lifestyle and Home Remedies

Managing gynaecomastia can be done with lifestyle changes at home. These changes work well for obesity, hormonal imbalances, or medication-related gynaecomastia. Let's look at important diet and exercise habits to improve chest appearance, especially for pseudogynecomastia.

Dietary Changes

Changing your diet is key when dealing with gynaecomastia. Eating too many calories and processed foods can lead to weight gain and make gynaecomastia worse. Here are some diet tips:

  • Reduce calorie intake to lose weight and lessen gynaecomastia's look.
  • Eat whole, healthy foods like fruits, veggies, lean proteins, and whole grains.
  • Avoid foods high in sodium, sugars, and preservatives as they can make you gain fat.
  • Be careful with soy products as they can affect hormone levels.
  • Watch what you eat in dairy and eggs as they can also impact hormone levels.
  • Drink lots of water to help with metabolism and weight loss.
Foods to EatFoods to Avoid
Fruits & VegetablesProcessed Foods
Lean ProteinsSoy Products
Whole GrainsHigh-Sodium Snacks
Nuts & SeedsSugary Foods
Plenty of WaterBeer & Alcoholic Beverages

Exercise Habits

Exercise is crucial for managing gynaecomastia. It can't fix true gynaecomastia but helps with chest appearance and overall health. Here are some exercise tips:

  1. Strength Training: Use weightlifting for exercises like bench presses and cable crossovers to build chest muscles and lose fat.
  2. Cardio Workouts: Do regular cardio like running or cycling to help with weight loss.
  3. Bodyweight Exercises: Try pushups and inverted rows to work on chest muscles and get better muscle definition.
  4. Consistency: Stick to a regular exercise plan, aiming for 150 minutes of moderate cardio and strength training each week.

By making these diet and exercise changes, you can manage gynaecomastia better. These lifestyle changes can improve your health and mood. Remember, being consistent is important for seeing good results over time.

The Role of Hormones

Understanding how hormones affect gynaecomastia is crucial. Hormones like oestrogens and androgens are key in both male and female development. Imbalances can happen due to health issues or certain medicines.

Hormonal Imbalances

Too much estrogen compared to androgen can cause gynaecomastia. This is why many newborn boys have bigger breasts because of their mother's estrogen. During puberty, many boys also notice breast growth due to hormonal changes.

In adult men, hormonal imbalances are more common because testosterone levels drop. Conditions like Klinefelter syndrome, hypogonadism, and some diseases can speed up this process. Men with gynaecomastia are more likely to get breast cancer, but it's still rare.

Medical Conditions and Medication

Some health problems can cause gynaecomastia. Issues like alcoholism, certain tumours, and chronic kidney failure are examples. Klinefelter syndrome, affecting one in 500 males, is a big risk factor.

Medicines also play a big part in gynaecomastia. Anti-androgens for prostate cancer and muscle-building steroids can cause breast growth. Anti-anxiety drugs, cancer treatments, and some painkillers or marijuana can also lead to it.

Seeing a doctor is key to figuring out why you have gynaecomastia. They'll look at your meds and health to find the right treatment. This might include gynaecomastia medication. Treating the underlying issues helps balance your hormones.

Risks and Benefits of Male Breast Reduction Surgery

Male breast reduction surgery is a trusted solution for gynaecomastia. It helps boys, adults, and older men with enlarged breast tissue. The surgery improves the chest shape and boosts mental health.

Pros of Surgery

The main advantages include a more masculine chest look. The surgery, which includes liposuction and removing tissue, takes 1-2 hours and you stay in hospital overnight. You'll be back to work in a week and fully recovered in about 6 weeks. It's a lasting fix for gynaecomastia, greatly improving self-confidence and comfort.

It's best for people in good health, at a stable weight, with good skin who are unhappy with their breasts.

  • Enhanced chest appearance
  • Boosted self-esteem and psychological well-being
  • Short recovery period
  • Permanent solution to gynaecomastia

Possible Complications

But, there are risks to consider. These include infection, bleeding, and skin problems. You might also face swelling, bad scars, nerve damage, or uneven skin. Common side effects are bruising and swelling, which can be eased with painkillers.

There's a chance of numbness in the breasts or nipples, lasting from a few weeks to months. Following post-surgery advice, like wearing a compression garment for 3 weeks, helps prevent swelling.

  • Infection and bleeding
  • Skin/fat necrosis
  • Swelling and poor scarring
  • Nerve injury and contour irregularity

About 40 to 60 percent of men have gynaecomastia. The decision to have surgery depends on age, body fat, and how long you've had the condition. Choosing a skilled plastic surgeon ensures the best care.

Surgery Duration1-2 hours
Hospital StayDay case
Recovery Time6 weeks
Side EffectsBruising, swelling, temporary loss of feeling
Potential ComplicationsInfection, bleeding, nerve injury, scarring

It's important to weigh the surgery's benefits and risks before deciding. Dr. Craig Shaw offers detailed advice to help you understand what to expect.

Coping with Gynecomastia

Living with gynecomastia can be tough, affecting your body, emotions, and mind. It's good to know that nearly half of all men will have it at some time. This knowledge can help you feel less alone.

Psychological Support

Gynecomastia can make you feel bad about yourself, leading to low self-esteem and feeling isolated. The shame of having what's seen as a "feminine feature" can really hurt your self-image. It's important to seek out emotional support to deal with these feelings.

Places like Chimera Clinic offer help with your mental health. They make sure you get the support you need to feel better about yourself.

Support Groups and Resources

Talking to others who understand what you're going through can be really helpful. Gynaecomastia support groups let men share their stories and support each other. You can find these groups online or in person, making them easy to reach.

Counselling and educational materials are also key in supporting you. They help you deal with your feelings and move forward with confidence.

Life After Treatment

Gynecomastia surgery helps by reducing excess glandular tissue. Most patients see results in about three months. The surgery brings immediate physical changes, boosting self-esteem and mental health. Over 90% of patients are very satisfied with the results.

Dr. Santosh Bhatia, a renowned Plastic and Cosmetic Surgeon, stresses the need to follow post-op care. Resting and avoiding hard work for six weeks after surgery is key to success.

PatientExperienceSatisfaction Rate
DanielImmediate positive effects on self-esteem and competition resultsHigh
General CasesImproved physical appearance, increased confidenceOver 90%

Daniel also found success with miraDry for excessive sweating, solving his hyperhidrosis issue. Stories like his show that gynaecomastia doesn't have to be a lifelong challenge. Effective treatments can greatly improve life quality.

Getting Professional Help

Getting help from a professional is key if you're dealing with gynaecomastia's emotional and physical effects. This condition affects about one in three men worldwide, impacting their mental health, life quality, and how they connect with others. The Chimera Clinic offers specialist treatments for all ages, led by Dr. Craig Shaw. THe can guide you through this tough time.

Hormonal shifts at different life stages, like in infancy, adolescence, and later life, make gynecomastia common. In adolescence, 50 to 70% of boys may face it due to hormonal changes. For older men, aged 50 to 69, the rate can be as high as 70%. For expert advice, call Chimera Clinic at 011 907 6621 or email

Causes of gynecomastia include genetic issues, chronic liver disease, obesity, and some medicines. These complexities highlight the importance of professional care. Dr. Craig Shaw's team offers tailored care, starting with a detailed check-up and then suggesting the best treatments. With expert help, many see a big improvement in their life, including higher self-esteem and better mental health.


What is Gynecomastia?

Gynecomastia is when a man's breast tissue gets bigger. It often happens during times of hormonal changes, like when you're a baby, a teenager, or getting older.

Can a man live with gynecomastia?

Yes, men can live with gynecomastia. But it might affect how they feel about themselves. There are treatments to help with both the physical and emotional effects.

What causes gynecomastia?

Hormonal imbalances, certain health conditions, genes, some medicines, and lifestyle choices can cause gynecomastia. It's often because there's too much estrogen compared to androgens.

What are the physical symptoms of gynecomastia?

Symptoms include a bigger chest with lumps under the nipple, bigger areolas, and long nipples. Some men might feel pain or discomfort, especially if gland tissue is involved.

How does gynecomastia affect self-esteem and social relationships?

Gynecomastia can really affect how a man feels about himself. He might feel ashamed, embarrassed, have low self-esteem, and avoid social situations and close relationships.

What are the different types of gynecomastia?

There are two types: true gynecomastia, which means the gland tissue grows, and pseudogynecomastia, which is more fat under the skin. The treatment depends on the type.

How is gynecomastia diagnosed?

Doctors like Dr. Craig Shaw at the Chimera Clinic first check you out. He does a physical exam and talk about treatment options based on your situation.

What are the treatment options for gynecomastia?

For serious cases, surgery like liposuction and tissue removal is used. For mild cases, doctors might suggest medicines or changes in lifestyle.

What lifestyle changes can help manage gynecomastia?

Eating right and exercising can make your chest look better if it's just fat. But, they won't fix true gynecomastia.

What role do hormones play in gynecomastia?

Hormones, especially too much estrogen and not enough androgens, cause gynecomastia. Some health conditions and medicines can also affect hormone levels.

What are the risks and benefits of male breast reduction surgery?

Surgery can make your chest look better and boost your mood. But, there are risks like scars and complications. Talking to a specialist can help you decide.

How can psychological support help in coping with gynecomastia?

Psychological support and groups are key in dealing with gynecomastia's emotional side. Places like the Chimera Clinic offer full support services.

How can I get professional help for gynecomastia?

For help, reach out to the Chimera Clinic, led by Dr. Craig Shaw. Call 011 907 6621 or email to set up a consultation and get advice on treatment.


Tel : 011 907 6621

30 Camelford Rd
New Redruth
Alberton, 1449


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