Gynecomastia is a condition characterized by swollen or puffy male breast tissues. It can happen at any age but usually occur in newborns, puberty, and adulthood. It results from hormonal changes, heredity, obesity, or certain drugs. Gynecomastia surgery, also known as male breast reduction, reduces breast size in men. The procedure involves liposuction with or without gland excision, depending on the grade and type of gynecomastia.

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Which tests should I undergo to determine hormonal imbalance?

Query: Hi doctor, My problem is that I am having man boobs and love handles. They just will not go away. I workout and reduced a lot of fat, but the fat in this area is stubborn. I want to know whether there is any hormonal imbalance in my body like high content of estrogen. What tests should I undergo to ...  Read Full »

Dr. Sanjay Kumar Bhattacharyya

Answer: Hi, Welcome to This is called gynecomastia which is quite common and needs treatment due to cosmetic reasons. First of all, this may be natural following obesity or due to hormonal imbalance inside you. You need a checkup whether there is any hormonal imbalance. A testicular examinatio...  Read Full »

Can a male with fatty breasts develop breast cancer?

Query: Hi doctor, I am having rough period. I am worried about my health and about breast cancer as I have fatty breast albeit, rare in men. Also, I had undergone ultrasound before seven months and everything was normal. Before a couple of days, some little red marks had appeared in my chest. When I pres...  Read Full »

Dr. Geetha Priyadarsini Kamminana

Answer: Hi, Welcome to First, let me assure you, that the red bump is completely benign not to worry as it is out of the mammary tissue. Now, let me enlighten you some facts about gynecomastia. It is the benign proliferation of the male glandular tissue in the breast. Every enlarge...  Read Full »

My testosterone level is 485. Is this considered low?

Query: Hello doctor, I am 33 years of age, 165 lbs. I have had anxiety, fatigue, gynecomastia, low libido, no morning hardness, and muscle loss. My lab results came back with my free testosterone level of 9.2 and testosterone level of 485, is this considered low T?  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have reviewed your query and can well understand your worries. Normal levels of testosterone range from 300 to 1200 mg/dL and can vary a bit with different laboratories. Yours is not that low but is on lower side for sure. Keeping in view all the symptoms you describe...  Read Full »

Can gynecomastia turn into a tumor in the future?

Query: Dear doctor, I am a 25-year-old male. I am worried about my breast. When I was 10 years old, I found there are some circular discs inside both my breasts. It was untreated then as I am too young. And forgot about it. But in recent time, after 15 years, I am just worried again. The lump are in both ...  Read Full »

Dr. Abhishek. V

Answer: Hello, Welcome to You have something called gynecomastia. It is very common among males of your age group. It is the continuation of a normal physiological process. There are four grades based on the size. There is no medication to treat it. Leaving it does not cause any health issues. ...  Read Full »

Which condition causes puffed up nipples?

Query: Hi doctor, I am a 38-year-old male, 174 cm tall and weight is 73 kg. I have been having puffed up nipples since long and can feel slight hardness under the nipple surface. It is painless and there is no discharge. I suspect gynecomastia. I can provide you photographs. Need your advice on treatment.  Read Full »

Dr. Vikram Kumar Raja

Answer: Hi, Welcome to You have bilateral grade II gynecomastia. Medical treatment, diet and exercise cannot reverse it. The correction will require liposuction with gland excision. It is a day care procedure. You can get discharged on the same day.  Read Full »

Why do I have puffy nipples after liposuction?

Query: Hi doctor, I am an 18 year old male. I had liposuction a year before for gynecomastia. I have been in perfect shape for a while. I have gained a bit of weight recently and noticed the development of puffy nipples. This is bothering me very much. I need some guidance. Please help.  Read Full »

Dr. Vikram Kumar Raja

Answer: Hi, Welcome to If the breast gland has been excised with the previous liposuction, then it is only fat and it can be reduced with re-lipo or diet and exercise. If the gland was not excised, then it is residual gland and it has to be removed. Please consult your specialist doctor ...  Read Full »

Can the lump under my male breast be cancerous?

Query: Hello doctor, I am a 24-year-old male. My complaint is that I have a breast lump in my right breast lower outer quadrant. I noticed it three days ago. I have pain at that site. I also noticed redness in the surrounding areas. I have poor beard growth and chest hair so I suspect that it could be gyne...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to Most probably it is gynecomastia as it is common in young age and may cause pain. Although, breast cancer is rare in males, it is more aggressive with rapid growth and spread. I suggest that you take painkillers and send me a photo of the red lump Also if you have no...  Read Full »

Do I have gynecomastia if one side of my chest is larger than the other?

Query: Hello doctor, Hello doctor, I have one side of the chest larger than the oth...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hi, Welcome to I understand your concern. I saw the files you have attached (attachment removed to protect the patient’s identity). In the supine position, more elevation is noted around the left nipple than the right nipple. Gynecomastia is a benign enlargement of the male breas...  Read Full »

Is gynecomastia normal in teenage boys?

Query: Hello doctor, I am a 19-year-old boy. I have gynecomastia and no facial hair at all. I also have several acne on my face and my back and chest. I think I have a hormonal imbalance. I have attached a copy of my hormone test reports. My FSH level is low at 0.74 µIU/mL, but my LH level is normal at 4...  Read Full »

Dr. Shaikh Sadaf

Answer: Hi,Welcome to understand your concern.I have reviewed the attachments (attachment removed to protect patient identity).Although your FSH (follicle-stimulating hormone) is slightly low, your testosterone and other gonadotrophic hormones are normal, so it does not make a difference.Usual...  Read Full »

Am I suffering from male breast?

Query: Hello doctor, Am I suffering from a male breast (man boobs)? I am not overweight, but I feel my breast is big. Please evaluate from the picture. My testosterone level is 688. Please advise.  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to I understand your concerns. I have checked all the attached photos (attachment removed to protect patient identity). Most likely, you have gynecomastia which is common in young males. The other possibility is hypertrophied subareolar fat which is an enlarged fatty l...  Read Full »

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