About half of all men today have gynecomastia—enlargement of one or both breasts. Male breast enlargement can be caused by drugs such as anti-depressants, blood-pressure medicine, marijuana, steroids, and others. Gynecomastia may not be improved with diet and exercise. The male breast reduction procedure can be accomplished with either a scalpel or liposuction, depending on the patient's anatomical needs.

Breast development can occur during adolescence and may appear as a small lump just under the areola. Gynecomastia commonly occurs during puberty and it may affect up to 40 percent of adolescent boys during puberty, usually by the age of 14. The excess breast tissue disappears without treatment in two years in 75 percent of these children, and within three years in 90 percent of them.

Surgery to correct gynecomastia may be performed on healthy, emotionally stable men of any age, providing the breast is fully developed. The best candidates for surgery have firm, elastic skin that will reshape to the body's new contours. Surgery may be discouraged for obese men, or for overweight men who have not first attempted to lose the fat around the breast area with exercise or weight loss. Men who use drugs that may cause the condition (excessive alcoholic beverages, marijuana, anabolic steroids, etc.) are usually not considered good candidates. Patients are first directed to stop the use of these drugs to see if the breast fullness will diminish before surgery is considered an option.

 
actual case Before & After surgery