There are several treatment options for gynecomastia. Which course of treatment is the right one for you depends on your individual situation. In some cases surgery may be required, while others respond very well to liposuction. Cases of gynecomastia that are caused by medications, obesity or poor dietary choices may respond to non-surgical treatment if action is taken to eliminate the root cause before permanent changes occur.
If gynecomastia occurs as a result of medication, the effects can usually be reversed by switching to a different medication as soon as symptoms become evident. A simple preventative measure is education. Do a bit of research into medications that you are being described and learn about the possible side effects before taking them for a long period of time. Awareness of possible side effects will make more alert to any changes in your body and allow you to take action before changes become too pronounced. In prostate cancer patients, radiation therapy may be used as a preventative measure to prevent gynecomastia from developing in cases where estrogen therapy is being used.
Non-surgical treatment for gynecomastia is most effective if action is taken within the first 3 years of the onset of the condition. After that, the breast tissue hardens and becomes more permanent, in which case surgical intervention is usually necessary to remove it. When gynecomastia first develops, changes in diet, medications or hormone therapy may have satisfactory results. Consulting a doctor early on may result in a referral to an endocrinologist who may be able to improve the condition by using non-surgical intervention. The use of selective estrogen receptor modulating drugs such as Tamoxifen, Clomiphene, androgens or aromatase inhibitors such as Letrozole has been found to have some success in the treatment of gynecomastia, although this method is not universally endorsed by all members of the medical community. There are also some topical products on the market that make claims of reducing gynecomastia but are not necessarily proven. The effectiveness of such products is for the user to determine. Certain vitamins and metabolism-boosting supplements make similar claims, but like any products they may work well for some people while having no effect on others.
When surgical intervention is needed, there may be a few options, depending on the type of gynecomastia involved. Cases of pseudo gynecomastia (made up entirely of fatty tissue) usually respond well to liposuction, either via traditional methods or the newer Vaser or Smartlipo procedures. Many people are opting for the latter because it is less invasive and has a faster recovery time, although some cosmetic surgeons still swear by the effectiveness of the traditional method. In cases of true gynecomastia, liposuction generally ineffective because the condition is caused by enlarged mammary glands. In these cases breast reduction surgery is required to remove the excess breast tissue.
The type of treatment that is right for you depends on your individual situation. It is best to discuss the matter in depth with your physician and explore all of the possible options for the treatment of gynecomastia.