Macon Gynecomastia

Macon Man Boobs Treatment

Women aren’t the only ones who can develop excess breast tissue. Gynecomastia, a condition characterized by the abnormal increase of breast tissue in men, can develop due to an imbalance in hormone levels. Many men experience levels of gynecomastia during puberty, which typically disappears over time. However, for those who don’t, seeking gynecomastia treatment from a board-certified plastic surgeon is an option. Since most men prefer a flat, muscular chest, the condition can be debilitating physically and emotionally.

It’s important to note that gynecomastia surgery, a surgical procedure to remove excess glandular tissue and fatty tissue, can provide gynecomastia surgery results that align with the aesthetic goals of the average patient. Understanding whether insurance covers gynecomastia surgery is also a significant consideration for those seeking treatment.


What is Gynecomastia?

Gynecomastia, characterized by the benign enlargement of breast tissue in males, often involves excess glandular and fatty tissue as well as excess skin. This condition results from an imbalance between estrogen (the female hormone) and testosterone (the male hormone), leading to breast growth in the male chest. Gynecomastia can affect one or both breasts and sometimes manifests in uneven measures. When seeking to treat gynecomastia, individuals may consider various options, including cosmetic procedures performed under local anesthesia to address the excess tissue and achieve a more aesthetically balanced male chest.

Why do I have “man boobs?”

Gynecomastia, often referred to as ‘man boobs,’ is a condition characterized by enlarged male breasts, a concern that affects many men worldwide. Rooted in physical and psychological dimensions, it can significantly impact self-confidence and well-being. This article will explore gynecomastia, its causes, symptoms, treatment options, and ways to boost self-esteem during and after treatment. Gynecomastia can affect men of any age, but it typically appears at puberty or after age 50. Several things can cause gynecomastia, such as hormones, certain medications, recreational drugs, medical conditions, or inherited DNA. During your consultation with Dr. Helen Allison, an expert in treating gynecomastia, she will take a complete medical history and perform a physical examination to help determine the underlying cause of your condition. Together, you can discuss treatment options, including gynecomastia surgery, a cosmetic procedure performed under local anesthesia, to address excess glandular and fatty tissue as well as excess skin and achieve desirable breast reduction results and a more balanced male chest.

The Leading Causes of Gynecomastia

Hormonal Imbalance

  • Excess Estrogen: A surge in estrogen can stimulate breast tissue growth. This increase can be natural, as seen during puberty or due to external factors.
  • Deficiency of Testosterone: Testosterone counteracts the effects of estrogen in male bodies. It can’t effectively counteract estrogen’s breast-enhancing effects if levels drop significantly.


  • Anti-androgens: Used to treat prostate cancer, enlarged prostate, and other conditions, these can reduce testosterone levels.
  • Anabolic Steroids: Often abused by athletes and bodybuilders, these can decrease the body’s natural production of testosterone, leading to an imbalance.
  • HIV Medications: Antiretroviral drugs, specifically protease inhibitors, can cause fatty deposits to develop around the breasts.
  • Antidepressants: While less common, some antidepressants can lead to gynecomastia. Tricyclics, for instance, have been linked to this condition.

Health Conditions

  • Liver Disease
  • Kidney Failure
  • Thyroid Disorders
  • Tumors

Signs and Symptoms

  • Swollen breast gland tissue
  • Breast tenderness
  • Pain or discomfort in the chest region
  • In some cases, the secretion of milk from the nipples

Diagnosing Gynecomastia

The Initial Consultation

Your first step will be consulting with a primary care physician or endocrinologist. During this initial consultation:
  • Discussion of Symptoms: Describe the changes you’ve observed, any pain or sensitivity, and when you first noticed these changes. Weight gain can be a factor to mention as well.
  • Medical History Review: This includes any pre-existing health conditions, medications you’re taking, and family history of similar conditions. It’s also essential to discuss any attempts at weight loss or reduction methods you may have tried.

Physical Examination

A physical exam is typically the next step. The doctor will examine the chest tissue to differentiate between fat and glandular tissue, which can affect breast size. They may also check for any lumps, indicating a tumor or other underlying condition.

Blood Tests

Blood tests can offer insights into your hormonal levels. An imbalance between estrogen and testosterone is often behind gynecomastia, so understanding this balance is essential for proper diagnosis and treatment. These tests can be crucial for most patients.

Imaging Tests

  • Mammograms: While typically associated with breast cancer screenings in women, mammograms can also be used for men to get a detailed image of the breast tissue. It helps assess breast size and composition.
  • Ultrasounds: In some cases, an ultrasound might be preferred over a mammogram. It uses sound waves to produce images and is especially useful if a lump or mass is suspected. Ultrasounds can help reduce swelling or confirm the nature of the breast tissue.


A biopsy might be recommended if there’s any doubt about the nature of the breast tissue or if a lump is found. A small tissue sample is examined under a microscope during a biopsy to determine its nature. This is an important step in surgical correction or excision techniques.

Further Tests

Depending on initial findings, other tests might be prescribed to rule out potential causes like liver disease, tumors, or kidney failure. These could include liver function tests, kidney function tests, or tests for tumor-producing hormones. It’s crucial to determine if insurance covers these tests, as they can be the only solution for some patients.

Comprehensive Treatment Options for Gynecomastia


  • Tamoxifen
  • Raloxifene
  • Aromatase Inhibitors

It’s essential to note that while medications can be effective, they might not eliminate breast enlargement and are more efficient in the early stages when inflammation is present.

Surgical Interventions

  • Liposuction
  • Mastectomy
  • Combination Procedures

Alternative Therapies

While not as widely acknowledged or studied as conventional treatments, some alternative therapies claim to help manage gynecomastia:

  • Herbal Supplements
  • Topical Creams and Gels

What causes gynecomastia?

Many men live with excessive breast tissue and fat and cannot wear the clothes that they’d like. In fact, most are so embarrassed that they will never be seen without a loose shirt and avoid working out at the gym due to the condition. They don’t realize that there are fairly simple treatment options to cure gynecomastia. Dr. Helen Allison will investigate the cause of the condition, which can vary:

Treating the cause of gynecomastia

If the underlying cause can be stopped or treated, then surgical intervention may not be necessary. However, in other cases, resolving an excessive quantity of breast tissue or fat will be resolved with liposuction or male breast reduction surgery.

The Psychological Impact of Gynecomastia

Understanding the Emotional Toll

  • Reduced Self-Esteem: Gynecomastia can have a significant impact on a man’s self-esteem and self-image. It can lead to feelings of self-consciousness and a negative self-image.
  • Embarrassment: The embarrassment associated with gynecomastia can be overwhelming, leading to social withdrawal and a diminished sense of self-worth.
  • Social Withdrawal: Many young men facing gynecomastia may withdraw from social activities due to their condition, further impacting their self-esteem and outlook.

Facing the Psychological Challenges Head-On

  • Professional Therapy: Engaging with a trained psychologist or counselor can offer structured support and coping strategies to improve a man’s self-esteem. They can provide tools to rebuild self-esteem, process emotions, and develop resilience.
  • Support Groups: Finding community with others experiencing similar challenges can be a game-changer. Support groups offer a space to share stories, offer insights, and build connections, positively impacting a man’s self-image. Knowing you’re not alone in your journey can be empowering.
  • Open Conversations: Cultivating a support system among friends and family can be instrumental. Sharing feelings and educating loved ones about gynecomastia can foster understanding and reduce feelings of isolation, contributing to a more positive outlook.
  • Embracing Self-Care: Engaging in activities that promote self-worth and relaxation can be therapeutic. It might include exercise, meditation, pursuing hobbies, or simply taking time for oneself, all of which can help improve self-esteem.

Tips for Living with Gynecomastia

Wear Compression Garments

One of the immediate solutions that many men turn to is compression garments. These specialized clothing items are designed to:

  • Shape and Sculpt: They apply uniform pressure to the chest, reducing the pronounced appearance of the breasts.
  • Provide Comfort: Compression garments can minimize chafing and skin irritation, which can be a concern with enlarged breast tissue.
  • Boost Confidence: Knowing you have a smoother silhouette can instill confidence when heading out.

Engage in Physical Exercise

Here’s how exercise can benefit:

  • Tone Chest Muscles: Exercises like push-ups, bench presses, and chest flies target the pectoral muscles, providing a firmer look to the wardrobe.
  • Enhance Posture: Strengthening the core and back muscles can improve posture, naturally making the chest appear less prominent.
  • Emotional Well-being: Exercise releases endorphins, which are natural mood lifters. It can be particularly beneficial given the emotional challenges gynecomastia might pose.

Stay Informed

Being well-informed about gynecomastia can:

  • Reduce Fear: Understanding the science behind the condition can alleviate your worries or misconceptions.
  • Connect with Communities: There are many online forums and support groups where individuals share their gynecomastia experiences. It can be a source of advice, comfort, and camaraderie.
  • Plan Ahead: By staying updated with the latest research and treatment options, you can make informed decisions about your health.

Seek Professional Counseling

  • Therapy: A professional can provide coping strategies, offer new perspectives, and help you navigate psychological challenges.
  • Group Counseling: Sharing experiences with others who are going through the same can provide mutual support and understanding.

Dress Smartly

  • Patterns and Layers: Darker colors and patterns can distract from the chest area. Layering with jackets or vests can also help in camouflaging.
  • Fabric Choice: Opt for thicker fabrics that don’t cling to the body, providing a smoother appearance.

Prevention and Risk Reduction

While gynecomastia may not always be preventable due to its diverse causes, several proactive measures can be undertaken to minimize the associated risk factors. Knowledge and awareness are crucial in this endeavor. Below are detailed strategies to help in the reduction and prevention of gynecomastia:

Understand the Role of Alcohol and Drugs

  • Alcohol Consumption: Chronic and excessive alcohol intake can disrupt the balance of hormones in the body. This hormonal imbalance is a known trigger for gynecomastia. Moderation or, in some cases, complete avoidance can significantly reduce the risk. Staying informed about this risk is essential for those considering gynecomastia treatment.
  • Recreational Drugs: Substances like marijuana, heroin, and amphetamines can influence the onset of gynecomastia. Recognizing these potential risks and making informed choices about drug use is essential, especially for individuals exploring surgical correction options.

Stay Informed About Medications

  • Potential Side Effects: Several medications, including certain antibiotics, anti-ulcer drugs, and medications for heart diseases, can induce gynecomastia. Before starting a new medication, always discuss potential side effects with a healthcare professional, as this knowledge can impact decisions about gynecomastia surgery.
  • Regular Reviews: If you’re on long-term medications, schedule periodic reviews with your doctor. This practice can help identify any medications contributing to hormonal imbalance and may be relevant for those considering surgical correction or excision techniques.

Monitor Underlying Health Conditions

  • Hormonal Disorders: Conditions like hyperthyroidism or tumors can lead to gynecomastia. Regular check-ups can ensure timely identification and management, which can be crucial for those seeking gynecomastia treatment on an outpatient basis.
  • Liver and Kidney Disease: Both can influence hormone levels. It’s essential to monitor and manage these conditions proactively to reduce the risk of gynecomastia, especially for individuals considering gynecomastia surgery.

Family History and Genetic Predisposition

  • Dig into Your Family Tree: If male members of your family have had gynecomastia, you might be at a higher risk. Knowing your family history can help in early detection and prevention, a factor to consider for those evaluating if they are a good candidate for gynecomast surgery.
  • Genetic Counseling: If gynecomastia runs in the family, consider genetic counseling. It can provide insights into potential risks and guide you in preventive measures, something to contemplate for those with realistic expectations of gynecomastia surgery outcomes.

Common Myths and Misconceptions

Myth 1: It’s Just Fat Reality

A common perception is that gynecomastia is simply a result of excess fat accumulation in the chest area. While being overweight can lead to a fatty chest or pseudogynecomastia, true gynecomastia is characterized by the enlargement of glandular tissue.

This enlargement is a result of hormonal imbalances rather than just fat accumulation. Differentiating between pseudo and true gynecomastia is crucial because the treatment approach can vary significantly.

Myth 2: Only Older Men Get It Reality

Gynecomastia does not discriminate by age. While it’s true that many men may experience enlarged breasts during their later years due to declining testosterone levels, gynecomastia can affect males at any life stage. 

Newborns can exhibit signs because of estrogen from the mother, teenagers may experience it due to puberty-related hormonal changes, and middle-aged men might face it due to various health factors. It’s essential to understand that gynecomastia can surface at different life phases and for other reasons.

Myth 3: Exercise Can Cure It Reality

While the internet is flooded with workout regimes claiming to ‘get rid’ of gynecomastia, it’s essential to understand the limitations. Strength training and cardiovascular exercises can help reduce body fat and ton the chest muscles, giving a more sculpted appearance. 

However, exercise cannot reverse the growth of glandular tissue, which is the hallmark of gynecomastia. While fitness is excellent for overall health and aesthetics, it’s not a standalone cure.

The Role of Diet in Managing Gynecomastia

Cruciferous Vegetables

These vegetables contain compounds called indoles, which can modulate estrogen metabolism, potentially reducing its dominance.

Aim for a daily serving of these vegetables. Whether you stir-fry broccoli, roast Brussels sprouts, or make a cauliflower mash, there are countless delicious ways to make them a staple in your meals.

Zinc-rich Foods

Adequate zinc levels support optimal testosterone synthesis, helping balance estrogen’s effects.

Opt for foods like oysters, beef, spinach, mushrooms, and pumpkin seeds. These not only provide zinc but also come loaded with other beneficial nutrients.

Limit Alcohol and Caffeine

  • The Alcohol Connection: Chronic alcohol consumption can lead to liver issues, resulting in elevated estrogen levels. Moderation is crucial.
  • Caffeine’s Role: High doses of caffeine can increase estrogen levels in some individuals. While occasional coffee or tea is fine, monitoring your intake is advisable.

Diet and Lifestyle

It’s also vital to approach the condition holistically:

  • Stay HydratedLimit Processed Foods
  • Exercise Regularly

How to Choose the Right Surgeon for Your Gynecomastia Procedure


First and foremost, ensure the surgeon you’re considering is board-certified in plastic surgery. A board-certified surgeon has undergone rigorous training and examinations and continues with ongoing education. It ensures they’re updated with the latest techniques, safety measures, and standards in the field.

Tip: Visit the website of the American Board of Plastic Surgery or a similar organization in your country to verify a surgeon’s certification status.

Experience with Gynecomastia

While many surgeons might offer breast surgeries, knowing how familiar they are with gynecomastia is essential. The anatomy and the concerns associated with male breast reduction differ from other breast surgeries. A surgeon with extensive experience in gynecomastia will likely have a deeper understanding of the desired outcomes and potential complications.

Before-and-After Gallery

A picture speaks a thousand words. An extensive gallery showcasing the surgeon’s work can give you an idea of their expertise. Analyze the photos of patients with a body type and gynecomastia grade similar to yours. It can provide a realistic expectation of your potential results.

Patient Reviews and Testimonials

Patient reviews can offer unfiltered insights into the surgeon’s expertise, bedside manner, staff professionalism, and post-surgery care. While reading reviews, focus on the positive outcomes and how the surgeon addressed any complications or concerns.

Tip: Besides online reviews, consider joining forums or support groups related to gynecomastia. Engaging with past patients can provide real-world insights that might need to be present in formal studies.

Initial Consultation

Once you’ve shortlisted potential surgeons, book a consultation. This face-to-face interaction is a chance to gauge your comfort level with the surgeon. Note how thoroughly they explain the procedure, risks, and recovery and how well they listen to your concerns.

Red Flags: A surgeon who pressures you to book the surgery, doesn’t allow ample time for questions, or needs to provide clear answers.

Costs and Financing Options for Gynecomastia Surgery

Breakdown of Costs

  • Surgeon’s Fees: The cost of the gynecomastia surgery typically includes the fees charged by the surgeon for performing the procedure.
  • Facility Fees: These fees cover the use of the medical facility where the surgery is performed, including operating room costs and staff.
  • Anesthesia Charges: Anesthesia is administered during the surgery, and the associated charges are part of the overall cost.
  • Medical Tests: Pre-surgery medical tests may be required to assess your health and suitability for the procedure.
  • Post-surgery Garments: After the surgery, you may need specialized garments for compression and support during recovery.
  • Follow-up Appointments: Post-operative follow-up appointments with your surgeon may also be included in the overall cost.

Insurance Coverage

  • Medical Necessity: Some insurance policies may cover gynecomastia surgery if it is deemed medically necessary, especially if the enlarged breast tissue causes pain, tenderness, or other complications. This can alleviate concerns for those who feel self-conscious about their condition.
  • Documentation: It’s vital to provide thorough documentation to make a strong case for insurance coverage. This documentation can include medical records, photographs, and notes from preliminary consultations, addressing concerns about general anesthesia and recovery.
  • Pre-authorization: Before undergoing the surgery, ensure you receive pre-authorization from your insurance provider to maximize the chances of coverage and reduce self-consciousness regarding financial aspects.

Financing Options

Several options can make the process more affordable:
  • In-house Financing: Some clinics provide financing plans, allowing patients to break down costs into more manageable monthly payments. This can be especially helpful for those concerned about the financial aspect of gynecomastia surgery.
  • Third-party Financing: Companies like CareCredit or Alphaeon Credit specialize in medical financing, offering patients varying terms and interest rates. These options can ease the financial burden for individuals considering the procedure.
  • Personal Loans: Consider taking a loan from your bank or credit union, depending on your credit history. Personal loans can provide the necessary funds for gynecomastia surgery and help alleviate concerns about affordability.
  • Healthcare Savings Accounts (HSA) or Flexible Spending Accounts (FSA): These accounts can cover some or all of the surgery costs, offering a tax-advantaged way to finance the procedure.