Gynecomastia is the development of enlarged breast tissue in men. It’s not the same as fat buildup from weight gain. Instead, it’s a growth of actual glandular tissue that causes a fuller or more feminine chest appearance. Some men feel discomfort or tenderness, while others are more bothered by how it looks.
In some cases, gynecomastia fades with time. In others, it persists and may require medical or surgical help. If you’re in Lexington, KY, Dr. David Kirn and Dr. Ahmed Al Bayati are trusted plastic surgeons who regularly treat male chest concerns, including gynecomastia.
Today, we’re breaking down when gynecomastia might go away without treatment and when it’s time to take action.
What Causes Gynecomastia in Men?
Hormonal imbalance is the most common cause of gynecomastia. When estrogen levels rise or testosterone drops, breast tissue can begin to grow. This is especially common during puberty or with aging.
Other gynecomastia risk factors include:
- Certain medications (like anti-androgens, steroids, and some antidepressants)
- Health conditions such as liver or kidney disease
- Obesity, which can increase estrogen
- Alcohol and drug use, including marijuana and anabolic steroids
Can Gynecomastia Go Away on Its Own?
Yes, in many cases it can. Puberty-related gynecomastia is often temporary. It usually appears between ages 12 and 18 and resolves within six months to two years. No treatment is needed unless symptoms persist or worsen.
In adults, mild gynecomastia can improve with lifestyle changes. That said, if you’ve had gynecomastia for more than a year with no change, it’s less likely to resolve without medical help.
Signs That It’s Time to Act
Some cases won’t go away with time or lifestyle changes. If you notice the following signs, it may be time to speak with a gynecomastia surgeon:
- Firm, rubbery tissue that doesn’t reduce over time
- Pain, tenderness, or nipple sensitivity
- Embarrassment or anxiety about going shirtless
- No improvement after one year of monitoring
In these cases, breast reduction may offer lasting relief. Contact us today to book an appointment.
How Gynecomastia Affects Daily Life
The impact of gynecomastia isn’t just physical. Many men feel self-conscious about their appearance—especially at the gym, pool, or beach. It can make people avoid wearing fitted shirts or participating in social activities.
Some men report frustration during exercise or find that their chest shape affects their posture or confidence. Even mild cases can feel overwhelming when they last long-term.
This is one reason why male breast reduction surgery is growing in popularity.
What Treatment Options Are Available?
If your gynecomastia is mild and recent, a doctor may suggest watchful waiting, weight loss, or changing medications. These non-surgical options are sometimes enough for early cases.
For persistent or severe cases, surgery is often the most effective solution. Options may include:
- Liposuction – removes excess fat from the chest if fat is the main issue
- Excision – removes dense glandular tissue not responsive to liposuction
- Combination surgery – both methods used together for optimal results
How to Prepare for a Gynecomastia Consultation
Thinking about seeing a gynecomastia surgeon? Here’s how to make the most of your visit:
- Be ready to discuss your symptoms and how long they’ve lasted
- Bring a list of medications and supplements you take
- Mention any underlying conditions or lifestyle factors
- Share your goals and what you’d like to change
Photos may be taken to document your chest appearance. This helps with planning and tracking improvement after surgery.
When to See a Gynecomastia Surgeon
If your symptoms have lasted more than a year, are getting worse, or affect your confidence, it’s a good time to schedule a gynecomastia consultation.
Dr. David Kirn and Dr. Ahmed Al Bayati specialize in male chest reduction procedures. They offer honest advice, personalized options, and a clear path forward. Whether your concern is physical, emotional, or both, their goal is to help you feel better in your own skin.
Ready for Answers? We’re Here to Help
If you’re unsure whether your gynecomastia will go away or needs treatment, expert guidance makes all the difference. Schedule a private consultation with Dr. David Kirn or Dr. Ahmed Al Bayati today.