Most cases of gynecomastia occur during puberty, and the condition usually gets better on its own without treatment. This can take anywhere from six months to two or three years. During this time, the breasts will flatten out and the swelling will decrease, leaving only scar tissue. In most cases, little or no treatment is needed.
The initial recovery time for breast reduction in men is approximately one to two weeks. During this time, patients should take things slow and avoid strenuous activities to facilitate healing and prevent complications. A compression vest will be worn to help the skin retract and prevent fluid buildup. Substantial swelling and some bruising are expected during this time, and any pain can be controlled with prescription medication.
If you have gynecomastia after puberty, it probably won't go away completely on its own or with natural remedies. This is because gynecomastia has nothing to do with the muscles of the chest, and building those muscles can increase volume in the breast, which is already too developed by unwanted breast tissue. There are varying degrees of severity when it comes to male breast development, and puffy nipples are often part of the problem of gynecomastia. If you're a teenager, you probably don't need further testing, since gynecomastia is very common in adolescence. Although the exact cause of this condition is not always clear, steroids, recreational cannabis, and other medications are thought to contribute to gynecomastia.
Gynecomastia has also been associated with illicit drug use, alcohol consumption, and herbal supplements containing phytoestrogens. Adult men with gynecomastia should not expect the problem to go away on its own, since once the mammary gland tissue has formed, it can only be resolved with a surgical excision. Having gynecomastia may slightly increase the risk of male breast cancer due to the change in the ratio of estrogen to testosterone in the body. For more extensive gynecomastia surgery, additional incisions may be required to tighten the skin, but all scarring is minimized as much as possible. If you have questions or concerns about gynecomastia, or if you have other risk factors for male breast cancer, talk to your doctor to make sure your treatment plan and follow-up program meet your needs.
If you're taking medications that can cause gynecomastia, your doctor may recommend stopping them or replacing them with another medication.