5 Common Myths About Gynecomastia

Men who are experiencing enlarged, swollen, or tender breast tissue may be suffering from a condition known as gynecomastia. Although the symptoms may be noticeable, the truth about the condition can be masked by misunderstandings and feelings of embarrassment. As a board-certified plastic surgeon in Houston who is extensively trained and experienced in gynecomastia surgery, James F. Boynton, MD, FACS has a vast knowledge of the condition and how it affects each of his patients. Below, Dr. Boynton highlights five myths about gynecomastia to debunk misconceptions that may be preventing men from seeking proper treatment.

Myth #1: Gynecomastia is a rare condition.
Approximately 65% of men will experience some degree of gynecomastia in their lives.1 Treatment for this common condition can be modified depending on the cause and severity of each case. 10% of male patients at the time of puberty have glandular / peripubertal gynecomastia. 

Myth #2: Gynecomastia only affects older men.
Although gynecomastia has a higher risk of developing later in life as a result of decreased amounts of testosterone, the condition can occur at any age. In fact, approximately 50 to 60 percent of adolescent males experience gynecomastia due to fluctuating hormone levels during puberty.2

Myth #3: Gynecomastia only occurs if you are overweight.
Gynecomastia may be brought on by being overweight or obese, but more often the appearance of enlarged male breasts that results from fat accumulation is actually referred to as “pseudogynecomastia” rather than “true gynecomastia.” Moreover, individuals can develop true gynecomastia from genetics, changes or imbalances of hormone levels, certain medications (ex: anti-anxiety or antidepressants), steroid use, excessive alcohol consumption, herbal products (ex: tea tree and lavender), and medical conditions (ex: overactive thyroid or kidney disease).

Myth #4: Gynecomastia, in all cases, can go away on its own.
In some cases, such as when excess fat is reduced with diet and exercise, certain medical conditions are resolved, applicable medicines are adjusted, or teenagers grow out of it as they reach adulthood, it may be possible for gynecomastia symptoms to improve. However, true gynecomastia resulting from superfluous or enlarged breast tissue is not likely to resolve without surgical intervention. 

Myth #5: True gynecomastia can be difficult to treat.
Generally, gynecomastia surgery is tolerated well by patients and achieves successful results by removing excess breast tissue and creating a flatter, more sculpted chest appearance. Advanced surgical techniques make it easier than ever to eliminate fibrous breast tissue with faster recovery time and minimal scarring. In some cases, liposuction may be combined for a more comprehensive treatment. 

Concerns about gynecomastia are completely normal and should be discussed with an experienced doctor or surgeon who is highly trained and experienced with the condition, such as Dr. Boynton. Understanding the type, cause, and severity of gynecomastia is key to finding the best resolution to relieve your symptoms and restore a firmer, flatter look in the chest area.

To learn more about gynecomastia treatment, or to schedule a consultation with Dr. Boynton, please contact us today. 

1ASPS: Gynecomastia in adult men

2ASPS: Gynecomastia in adolescents