The abnormal development of male breast tissue is a condition called gynecomastia. The word gynecomastia comes from the Greek, “gyne” meaning woman and “mastos” meaning breasts. The condition is not uncommon in male adolescents or in males who are obese. Other causes may include certain medications, alcohol, some tumors, marijuana or even genetics. Unfortunately the exact cause of the condition in a patient may not be able to be determined.

Whilst there is no clear cause for the condition it is thought that the primary factor is an imbalance between estrogen and androgen levels such as testosterone in the patient. Even though an imbalance in favour of estrogen is thought to be the main factor in the development of gynecomastia, there is no conclusive evidence that treatments such as testosterone replacement therapy (TRT) are effective in reversing the breast tissue growth or even stopping it.

It is not uncommon for adolescent males to experience the condition and for most of them it will pass by the time their bodies have reached adult testosterone levels. However if it persists for more than a year after adulthood is reached it will be unlikely that the condition will go away on its own. For some the breast tissue will continue to increase in size.

Significant weight gain can also cause breast enlargement. Whilst this enlargement may be predominantly a result of an accumulation of fatty tissue in the breast, which is not gynecomastia there may also be an excess of fibrous breast tissue as well which is gynecomastia. It is thought that the obesity of the patient may cause an estrogen imbalance resulting in the increase in breast tissue. After weight loss he will still have the enlarged breasts because of the increased breast tissue. Liposuction as a treatment will only remove the fat from the breast and not the fibrous breast tissue. The only way to remove the tissue is by surgery.

Body builders and some athletes who use prohormone and anabolic steroid supplements can also finish up with enlarged breasts. The supplements result in the body converting some of the supplements into excess estrogen like compounds which in turn causes the increase in breast tissue growth.

Gynecomastia is a very embarrassing condition for males and although the exact cause of the condition may not be known it is very important that any man suffering from gynecomastia consult with a qualified plastic surgeon before proceeding with any treatment. Please check with our directory on the web site to obtain the details of a qualified plastic surgeon.


Bruce currently heads up a team of researchers and writers who are challenging the way people perceive plastic surgery, aiming to break down the stigma and judgments that still exist in the wider community. He also brings a male perspective to the discussions surrounding plastic surgery and in particular the growing trend for males to undergo procedures.

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