Gynecomastia Surgery: Evaluation, Procedure, Recovery and Cost Factors

Gynecomastia is enlargement of male breast gland tissue and can affect one or both sides of the chest. It may occur at different ages and can have several contributing factors, including normal hormonal changes, certain medicines, health conditions or no clearly identifiable cause. Chest fullness is not always gynecomastia, so an assessment should distinguish glandular tissue from predominantly fatty tissue and look for findings that may need further investigation.

When is surgery considered?

Surgery may be considered when gynecomastia persists, causes physical discomfort or is personally bothersome, and when a clinician considers an operation appropriate after assessment. It is not the only possible response to every case. Depending on the cause and timing, observation, addressing a contributing condition, or reviewing medicines with the prescribing clinician may be relevant before surgery is discussed.

For a broader overview of evaluation and treatment choices, see the main gynecomastia treatment guide.

What does gynecomastia surgery involve?

The operative plan depends on whether the chest enlargement is mainly glandular tissue, fat, excess skin or a combination. Liposuction may be used to reduce selected fatty tissue, while excision may be required for firmer glandular tissue. Some patients need both approaches. More extensive cases may also require skin removal or adjustment of the nipple–areola position.

Incision location, anaesthesia and technique vary with anatomy and the amount of correction required. No technique can promise perfectly flat contours, invisible scars or exact symmetry.

What affects the cost?

There is no single fixed price that applies to every patient. An individualized estimate may depend on the extent of surgery, whether liposuction and excision are combined, anaesthesia, facility charges, investigations, compression garments, prescribed medicines, follow-up care and whether additional procedures are required. A written quotation should make clear what is and is not included.

Preparation should be individualized

Pre-operative planning usually includes a health history, examination and a review of medicines, supplements, smoking or nicotine use, allergies and previous surgery. Tests are ordered when clinically appropriate rather than automatically for everyone.

Do not stop aspirin, anti-inflammatory medicines, blood thinners or any other prescribed treatment solely because of general online advice. Some medicines can increase surgical bleeding risk, but changing them without the prescribing clinician’s guidance can also be unsafe. The surgical team should provide patient-specific instructions after reviewing the reason each medicine is being taken.

Recovery and possible risks

Swelling, bruising, soreness and temporary changes in sensation can occur during early recovery. A compression garment may be recommended in some treatment plans. The timing of driving, work, gym activity and heavy lifting varies with the procedure and the individual’s healing, so return-to-activity advice should come from the treating team.

Potential complications include bleeding, infection, fluid collection, contour irregularity, asymmetry, noticeable scarring, altered nipple or skin sensation, wound-healing problems, changes in nipple–areola position, anaesthetic complications and the possibility of revision surgery. Residual fullness or later chest changes can also occur.

Questions worth asking before deciding

• Has the cause of the chest enlargement been assessed?
• Is the proposed treatment liposuction, gland excision, skin removal or a combination?
• Where are scars likely to be placed?
• What limitations and complications apply to my anatomy?
• What does the quoted fee include?
• What follow-up is available if healing or contour concerns develop?

Gynecomastia surgery can change chest contour in suitable patients, but it should not be described as a guaranteed or universally permanent solution. If you want an individualized assessment and treatment discussion, use the Contact Us page.

What should you know about Gynecomastia and its treatments?

Gynecomastia is a problem which is encountered by males in which they are bothered by the enlarged breasts. The enlargement of the breasts among the males is enough to destroy their masculine image. To get rid of that problem, gynecomastia treatment is relied on. One of the successful treatment alternatives for this problem is the surgical approach. Gynecomastia surgery in Vizag is carried out to make the patients attain the masculine look all over again with the reduction in the plumpiness and the broadness of the moobs.

Facts about the GYNECOMASTIA

• Either one breast or both breasts can encounter the problem.
• Both boys and men can get affected by this. (This problem has been observed in the newborn baby as well)
• The breasts can become excessively plumpy in some cases. Those conditions are known as pseudogynecomastia.

Which are the symptoms of gynecomastia?

The gynecomastia is on the cards if you have come across the following symptoms:

• Enlarged breasts
• Tender breasts
• Plumpy breasts
• The feeling of a slight bump or lump behind the nipple

What causes gynecomastia?

Gynecomastia is usually brought about by excessive changes in hormones. These hormones experience changes during the following phases:

• Birth
• Puberty
• Ageing

There are two kinds of hormones which are known the estrogen and testosterone which are responsible for passing the masculine and the feminine traits among individuals.

Why do newborn babies suffer from the enlargement of the breasts?

The newborn babies who are observed with the enlargement of the breasts usually have too much estrogen levels because of which their breasts experience abnormal changes. These hormones get passed to the babies through their mothers.

How common is it among teenage boys?

4 out of 10 teenage boys do suffer from this problem. This condition sometimes goes off on its own as soon as puberty is over. But some cases can only get treated with the help of surgeries.

Why do older men suffer from this problem?

The regulation in the balance of the hormones is usually caused by ageing. The following conditions are responsible for making the older man more prone to these problems:

• Tumours in the glands like the adrenal gland, pituitary gland
• Tumour in the testes
• An overactive thyroid is also known as the hyperthyroidism
• Kidney diseases
• Liver diseases

Which medication can contribute to the bringing of the problem?

Following problems can contribute significantly to the problem:

• Intake of the medications prescribed for the treatment of either AIDS or HIV
• Chemotherapy and radiation therapy
• Intake of the antibiotics
• Long time consumption of the medications for the treatment of the heart disease
• Tricyclic antidepressants

Intake of the drugs may include the following:

• Opioids
• Anabolic steroids
• Amphetamines
• Heroin
• Marijuana

Does lifestyle also contribute to this problem?

If the individual is not living a good lifestyle then he may surely get bothered with the enlargements of the breasts. The males should make sure that they are taking enough measures in account to avoid the encounter of the following:

• Obesity
• Excessive consumption of the alcohol
• Intake of the estrogen through medications or foods that may contain the soy

Can breast cancer be caused by gynecomastia?

In the rarest cases, it has been found out that the main cause of breast cancer is gynecomastia. The lumps which are formed during prostate cancer are significantly different as compared to those which are formed as a consequence of gynecomastia surgery.

How can gynecomastia be diagnosed?

It takes a physical examination to look out whether you are suffering from the problem of gynecomastia or not. No sooner you get to face the plumpness in the breasts than you should consider visiting the doctor.

The doctor will determine based on the physical examination whether further tests are required for the diagnosis of the gynecomastia:

• An ultrasound.
• Mammogram.
• Breast biopsy

Is there any way by which we can prevent gynecomastia?

In most cases of gynecomastia, the problem cannot be prevented. These are caused by the changes in the hormonal levels and the excessive tampering with the hormonal levels is not at all suggested. Adults can prevent the problem by stopping intaking the medications and various kinds of drugs. If you are prescribed some medications, then make sure you are asking the doctor whether it will produce any side effects on your body or not.

How can the problem of gynecomastia be treated?

Usually, gynecomastia does not need treatment. But your doctor may call you for the follow-up sessions to check the size of your breasts. If the size keeps on increasing, then the doctor may consider carrying out any kind of surgical approach.

If the treatment needs to be carried out, then there will be several options for the doctors to choose from. Based on the signs and the symptoms of the problem, the doctor will look for the ideal treatment option. The doctor has to keep a lot of things in mind before choosing the ideal procedure.

Important point

If you have been taking any prescribed medication for a long time, then make sure you are consulting your doctor before suddenly dropping the intake.

What can you do to make your appearance better?

If you will follow the subsequent measures, then gynecomastia can never bother you:

• Stop the consumption of the illegal drugs
• Make positive and good changes in the lifestyle
• Start intaking the hormone regulation medications with the prescription of the doctor.

Can gynecomastia last through their lives?

In some cases, it does stay forever. But as far as the newborn and the teenage boys are concerned, then gynecomastia does not last that long. Even the physique of the children gets back to the normal shape immediately after the period of 6 months to 1 year.

Bottom Line

To deal with gynecomastia, you need consultation from the right doctors. If you are not guided right in the matter, then you may end up destroying your masculine body structure forever. So we would like to suggest you take consultation from us. We shall be more than happy to guide you right in the matter.

Gynecomastia – Causes, Self-examination, surgery and its preparations

Owing to the proliferation of the feminine hormone, the breasts of the males can get augmented. But this augmentation does not look pleasant on the masculine personalities, so the males who experience this problem usually face a fall in their self-confidence. To get rid of that hormone look. Male often opt up for gynecomastia surgery in Vizag.

• Which is the predominant cause of gynecomastia?

Gynecomastia is usually caused by puberty. We all know that hormonal changes are sure to be encountered in puberty. But it is relevant to get you acquainted with the fact that sometimes these tissues of breasts contract as soon as puberty is left behind. But in other cases, the breasts continue being enlarged.

• Which are the other causes which also account for this problem?

There are other causes as well which contribute to the origin and the existence of the problem:

• If you are habitual of taking unprescribed medication, then you should stop instantaneously. Because it can not only lead to the origin of the problem but it has the potential to provoke this problem to the next stage.

• Intake of anabolic steroids is not at all good for the hormones. Because sometimes the hormones get negatively triggered and end up causing the problem of gynecomastia.

• If the weight of the individual keeps on fluctuating or even gets a sudden rise and fall, then it needs your attention. No sooner than you experience it, visit the dermatologist and he can figure out whether the gynecomastia is on cards or not.

• How can the individual determine whether it is gynecomastia or not?

Gynecomastia is a problem which is related to the breasts. In some people, this problem is experienced for only one breast. While for others both the breasts get affected.

• Can gynecomastia be turned into breast cancer?

Yes! Gynecomastia can surely be turned to the problem of breast cancer. But it is only suspected if you have encountered any of the symptoms mentioned below:

• Palpable masses

• Hardening of the masses of breasts

• Discharge from nipples

• Change in the skin colour of the breasts

• When is the gynecomastia surgery suggested for the patients?

If the patient has experienced the development of the lumps in the brats which may or may not be accompanied with the excess fats. Then the experienced doctors of Dr VJs Cosmetic Surgery & Hair Transplantation Centre take into account performing the gynecomastia surgery.

In this surgery, initially, the effort is induced to break down the excessive fat cells then the latter part includes termination of the excessive glandular tissue of the breasts.

• How should you prepare for the same?

• You should give up all the blood-thinning medications.

• For a good recovery rate, a good dietary plan has to be followed.

• Smoking and consumption of alcohol should be completely abandoned.

• How much time does it take to recover?

To get recovered, it takes a maximum period of 4 weeks to get back to the normal routine. But as far as going back to work is concerned, you can continue your job after 7 to 10 days.

Takeaway

If you also feel the need to take up gynecomastia surgery, then please consult the adept doctors of Dr VJs Cosmetic Surgery & Hair Transplantation Centre

What is Gynecomastia? What are the causes and treatment for Gynecomastia?

What is gynecomastia?

Gynecomastia is the male breast enlargement. Many men have not heard about the condition, till the time they do not get it. The problem is likely due to the reason of excess estrogen i.e. female hormone or too little testosterone i.e. male hormone. Also, the glandular tissues of the breast start to swell and the breast bud is formed which is known as an enlarged breast. Undergoing gynecomastia surgery in Vizag will give you the right solution to the problem.

What are the symptoms of gynecomastia?

Along with enlarged breasts, boys or men might notice the gynecomastia condition makes their breasts feel firm or rubbery. The problem can be noticed in one breast on both sides. The problem is common in adolescent boys during puberty. In some cases, the problem can last for 2 years, and sometimes it can go away within one year. You must consult the doctor and get an understanding of what you need to do.

What are the causes of Gynecomastia?

In newborns, gynecomastia is due to estrogen from the mother. Bread buds are common in baby boys. Usually, the problem goes away within 6 months but sometimes it can last for longer.

During puberty, preteen boys suffer from this condition and it can last for 2 years. The problem will go away in the first year. The problem can occur due to estrogen-producing tumors. The hormonal changes can also result in the problem, although it will go away within 6 months to 2 years.

Adults males and Gynecomastia

In adults, the problem is likely to happen because of overactive thyroid, liver cancer, lung cancer, hormone issue, pituitary gland cancer, testicle cancer, and many other health issues. Even the consumption of alcohol, heroin, marijuana, and methamphetamine can result in problems. Some of the medications which can result in problem are:

• Steroids: It includes Prednisone or dexamethasone

• Medicines: The patient taking medications to treat ulcers (such as cimetidine).

• Medicines: The patient taking medications used to treat epilepsy (such as phenytoin [Dilantin]).

• Antiandrogen drugs: It includes cyproterone, flutamide, and spironolactone).

• Antianxiety and antidepressant medicines: It includes tricyclic antidepressants and diazepam [Valium].

• Chemotherapy drugs, especially alkylating agents, a family of anticancer drugs that interfere with cell DNA and inhibit cancer cell growth

• Digitalis and other heart medicines.

What is the treatment for Gynecomastia?

Gynecomastia in babies and teens does not approach treatment. In most cases, the problem goes away on its own. If the problem is caused due to a disease or medicine, then medications need to be stopped or treat the problem, which helps the condition to get back to normal. On the other hand, if the problem is due to an increase in estrogen and lack of testosterone the hormonal treatment is suggested. Surgery will be the last resort for the patients if other treatments have not given the desired results needed. For more information, discuss with the doctor what you need to do and what you should avoid.

What are the benefits and importance of undergoing gynecomastia surgery?

It is a researched fact that more than 70% of the boys who suffer from the problem of gynecomastia are going through the period of puberty. And more than 65% to 70% of the males who are going through the problem of gynecomastia come under the category of middle age and senior citizens. This is the reason that gynecomastia surgery in Vizag is achieving high success rates.

Benefits and merits of reduction of male breasts for gynecomastia treatment?

●       Confidence and Self-esteem

First of all, we are very much acquainted with the fact that males are supposed to look good when they are shirtless. It is the reason that most males undergo breast reduction surgery. It not only gives them a good physical structure but also helps them to maintain self-confidence and self-esteem.

For example, A group of boys reunites after a long time and they plan to go for a pool party. But one of them is perpetually rejecting and opposing the idea. It is because he may be highly conscious of the increased size of the breast. If after a good and strong convincing by his friends, he is agreed to there. He would not wear off his shirt and deny going to the pool.

The above written is an example of how gynecomastia could make you anti-social and lose confidence in one’s individuality. It highly depicts the significance of undertaking gynecomastia surgery.

• Masculine body structure

As we know, today all the boys and girls are running towards a good body shape and figure. They even go for dating with the one whom he or she finds worthy of matching his/her looks and body shape. So it becomes of utmost essentiality to maintain a good masculine structure or figure for boys. No Doubt, gyming and taking good protein supplements will help you in accomplishing the same. But the breast reduction can not be done with the help of gym equipment. It is only gynecomastia surgery that could help you to get rid of the consequences of the emergence of feminine hormones.

• Healthy weight

Healthy weight is a necessity for all individuals for the maintenance of a healthy body. But because of the rise in feminine hormones which cause an increment in the size of the male breast would definitely cause you to go through the adverse circumstances of maintaining an unhealthy weight. If one has chosen to undergo breast reduction surgery, that would be beneficial.

• Frees you from back pain

It is because of the alleviation in the breast that you may be forced to undergo back pain. Back pain does not only restrict women who have augmented breasts caused by breastfeeding. It becomes a phenomenon for males who have alleviation in the size of their breasts.

How are the important factors to prepare for gynecomastia surgery?

One of the estimates has shown that people between the age of 50 and 69 are diagnosed with gynecomastia. This condition is characterized by enlarged male breasts. The problem is going to impact your ability to wear your favorite clothing as it brings the feeling of body shame. To prepare yourself for the gynecomastia surgery Vizag, go through the following steps.

Prepare yourself for Gynecomastia surgery

Understanding which procedure you need

First of all, it is important to understand which procedure is best for your condition. It is important to consult a board-certified plastic surgeon. The doctor is going to look at the patient anatomy so that the fullness of the chest can be checked:

• Excess fat
• Both fat and breast tissue
• Too much breast tissue
• Areola has the presence of loose skin

Older patients and patients with massive weight, feel like there is chest fullness which results in loose skin near the areola. This can be corrected with an areola reduction. In most cases, the patient has excess fat or the breast tissue is in abundance. In that case, fat removal and surgical excision of the tissue is needed.

Choosing the right surgeon

For any man, it is not a pleasurable feeling to get surgery for the chest. When they get the gynecomastia surgery, the scars are hidden. You must choose the right surgeon for the treatment who knows in and out about the treatment. You need to go with someone who is:

• Yeast of experience to provide gynecomastia surgery
• Board-certified surgeon
• Understanding the gynecomastia causes

When you are getting treatment from an exemplary surgeon, the results are the best. They will ensure that you get the best treatment by determining your condition in detail.

Exercise, Diet, and Gynecomastia

To prepare yourself for the gynecomastia surgery, you need to work upon your exercise and diet regime. In some cases, the problem is triggered due to medication, supplements, or recreational drugs, then you need to stop its intake. Nevertheless, the fuller chest occurs due to excess fat. To lose weight, here are some of the things which you can give a try:

• Reduce the sugar intake
• Increase the consumption of vegetables and fruits
• Limit the alcoholic beverages in your diet
• You should do cardiovascular exercise for 30 minutes – 3 times per week.

Even if you need to get surgery, you need to work on your diet and exercise regime. It is great to benefit your overall health and recovery also goes smoothly.

How does the recovery feel?

During the recovery timeline, you should have realistic expectations. You can expect the swelling for two weeks. The drain will be there for 24 to 48 hours. You should wear the compression vest as it helps to reduce swelling and provide you the desired results.

In the first week, you need to ease with the exercise regime. Do not go with upper bodywork for 4 to 6 weeks.

The results will take time but it will be worth it. Follow the tips given by the surgeon to see the visible results on time.

What is Gynecomastia in Pediatrics and Adolescents? Explain the causes?

Gynecomastia is breast tissue produced in a male individual. It is a chronic disorder that is most commonly seen in boys entering puberty due to hormonal fluctuations that arise during this time. This condition is additionally explained as enlarged male breast due to several causes. This can be caused due to hormonal problems, certain lifestyle habits, or medical problems. Gynecomastia can only be treated with gynecomastia surgery because this is one of the best ways to treat an abnormal amount of estrogen in males.

What is Gynecomastia in Pediatrics and Adolescents?

Much of the time, this gynecomastia goes by itself without the need for medication, but it may not leave entirely, or it may be triggered by an issue with hormone development or absorption, or possibly a form of tumor, in which case special care and treatment may be required. Of this purpose, a multidisciplinary team method is effective in determining the origin of the gynecomastia, evaluating its effect on the patient and preparing a tailored strategy of care. You can only get the treatment after knowing about the signs and causes of the condition.

What are the signs and effects of Gynecomastia in Pediatric and Adolescent?

• Tender breasts
• Nipple discharge into one breast or both
• Fluffy breast tissue

Which are the causes of Gynecomastia in Pediatric and Adolescent?

Individuals of both sexes have some breast tissue and the way that this grows into noticeable breasts relies on various variables, most notably hormone activity. Gynecomastia is normal in males growing this breast tissue. The hormones of the mother working on the breast tissue of the infant, this is still observed in premature babies but typically occurs in the first few weeks of conception.

The next level is sometimes used when it is in adolescence. In reality, during this period gynecomastia condition affects almost 35% of boys. But, as we stated above, a gynecomastia in boys during puberty disappears within two years without any medication. Additionally, About 5 percent and 10 percent of boys who have gone through puberty will not fully vanish breast growth during adolescence and they would be left with noticeable breast tissue.

• Hyperthyroidism-: The metabolism-regulating gland may change hormones.
• Hypogonadism-: Any disorder that reduces testosterone (such as pituitary insufficiency or disease with Klinefelter)
• Hormonal Fluctuations
• Liver or kidney insufficiency-: Hormonal changes in medication response and dialysis
• Malnutrition or hunger-: Inadequate nutrition results in a decrease in testosterone, but estrogen stays stable.
• Drugs or medications-: Hormones, inhibitors, radiation, or drugs for the heart can contribute to gynecomastia.
• Mother’s hormone rates-: Boy ‘s breast tissue usually declines within two or three weeks of birth.
• Puberty-: Fast fluctuations in the hormone modify different body functions.
• Street drugs as well as the usage of drinking-like cocaine, heroin.

Gynecomastia: What Exercise Can and Cannot Change

Chest fullness in men can have different causes, and the right approach depends on what is creating the enlargement. In some people, the main issue is excess fatty tissue around the chest. In others, there is an increase in glandular breast tissue known as gynecomastia. The two can look similar, but they do not respond in exactly the same way.

Start by understanding the cause

Exercise is useful for general fitness, cardiovascular health and weight management, but it cannot selectively remove glandular breast tissue. If chest enlargement is new, painful, one-sided, associated with a lump or nipple discharge, or appears after a medicine or supplement change, a medical assessment is more useful than simply increasing workouts.

A clinician may review age, weight changes, medicines and supplements, alcohol or drug use, endocrine symptoms and other health conditions. Depending on the findings, examination or additional tests may be appropriate. Not every person with gynecomastia needs extensive testing.

When weight management may help

If a significant part of the chest fullness is due to fatty tissue, gradual weight reduction can reduce overall body fat, including fat around the chest. A sustainable eating pattern, adequate protein, regular activity and realistic calorie control are generally more useful than crash diets or rigid food rules.

There is no special food, probiotic, supplement or chest-specific diet that reliably removes gynecomastia. Anyone with diabetes, kidney disease, an eating disorder, significant weight change or another medical condition should obtain individualized dietary advice rather than follow a generic restrictive plan.

What strength training can do

Resistance exercises such as presses, rows, push-ups and other whole-body movements can improve strength, posture and chest-muscle development. They may change how the chest looks, especially when combined with overall fat loss, but they do not dissolve glandular breast tissue.

Training the whole body is generally more balanced than concentrating only on the chest. Exercise intensity should be increased gradually, particularly for people who are new to training or have cardiovascular, joint or other medical problems.

When surgery is considered

Persistent gynecomastia does not automatically require surgery. Treatment depends on the cause, duration, symptoms, age and patient preference. Sometimes observation or treatment of an underlying cause is appropriate. When glandular tissue remains bothersome after assessment, a surgeon may discuss options that can include gland excision, liposuction for associated fatty tissue, or a combination of techniques.

Surgery has trade-offs such as scars, swelling, contour irregularity, asymmetry, changes in nipple sensation, bleeding, infection and the possibility of revision. Results and recovery vary, so it should not be presented as a guaranteed or universally effective solution.

Choosing the next step

If you are unsure whether the chest enlargement is mainly fat, glandular tissue or a combination, start with an assessment rather than assuming that more exercise or surgery is the answer. You can read the main gynecomastia treatment overview or use the contact page to arrange a consultation.

What are the different steps to diagnose the gynecomastia condition?

In case, the gynecomastia problem is very severe and it is becoming more prominent then you should consult the surgeon for the gynecomastia surgery. If you think you might have gynecomastia this article will help you understand how to recognize the condition.

 Recognize the Gynecomastia symptoms

• Lump in the breast

With true gynecomastia, the glandular tissues will be on either one or both breasts. The tissue is behind the nipple and with the fingertips, you can feel it.

If you feel a lump in the breast then seek medical attention right away. The lump size can be different and it may be possible it varies in both of the breasts.

• Tender breast

Gynecomastia condition can result in soreness and you can feel it when you press or touch the breast. If the problem is causing discomfort and pain then you need to schedule a medical appointment right away.

• Fatty tissues

At times, there is a buildup of fatty tissues in the breast which is different from gynecomastia. In case, you touch the breast but there is no lump or tenderness then it is pseudo gynecomastia. The problem can go away by losing some weight.

Consult the doctor for Diagnosis

• Schedule an appointment for an examination

If you think you have gynecomastia then you need to consult the doctor. The doctor will check for the possible symptoms you have like swelling and pain in the breast. Some of the additional symptoms include cyst or infection.

• Talk about your medical history

It is better when you give detailed information about your medical history. This makes it easy for the doctor to give you the best treatment plan. You should tell your doctor about the symptoms, if any had similar health issues in your family, all the medications you are taking along with dietary supplements, or if you have medical issues in the past.

• Test to diagnose Gynecomastia

Your doctor will do a physical examination if they detect you have the symptoms. Some of the further tests which will be done include:

• A mammogram.
• CT scans, an MRI, or a chest X-ray.
• Blood tests.
• A testicular ultrasound.
• A biopsy of your breast tissue, if cancer is suspected.

• Possible treatment options

In many cases, the problem goes away on its own. However, if it does not go away or it is affecting you to live your life in a normal way then the doctor will recommend one of the following treatment:

• Hormone therapy blocks estrogen production or increases the production of testosterone in the body.
• Liposuction, to remove excess fat from the breast.
• Mastectomy surgery removes the glandular tissue of the breast.
• The doctor also treats the gynecomastia by treating the underlying cause
• Your doctor will recommend adjusting or stopping any medications that might cause gynecomastia.