Get Rid of Gynecomastia: Expert Tips and Advice from a Board-Certified Plastic Surgeon

Gynecomastia is a condition that affects the male chest area, causing enlarged breast tissue. It can be caused by various factors, including genetics, obesity, marijuana use, anabolic steroid use, and certain medications. It is important for men to understand the causes of gynecomastia and the available treatment options so they can make informed decisions regarding their health.

The most common treatments for gynecomastia are surgery and the Enhanced Recovery After Surgery (ERAS) protocol. Surgery involves removing excess fat and/or glandular tissue from the chest area in order to achieve a flatter, more masculine appearance. The ERAS protocol is a less invasive approach that focuses on lifestyle changes such as diet, exercise, and stress management in order to reduce symptoms of gynecomastia.

In addition to treatment options, there are also preventive measures that men can take to reduce their risk of developing gynecomastia or worsening existing symptoms. These include discussing options with a board-certified plastic surgeon and avoiding behaviors that may cause or worsen gynecomastia. Men should also consider an ERAS protocol as part of their recovery plan following any type of chest surgery. By understanding the causes and treatments of gynecomastia, men can make informed decisions about their health and take steps to prevent or manage this condition effectively.


Causes of Gynecomastia

Gynecomastia is an enlargement of the male breast tissue, and it can cause physical and emotional distress. While there are a variety of treatments available to address this condition, it is important to understand the causes in order to prevent or reduce its occurrence. The following are some of the most common causes of gynecomastia:


Gynecomastia can be caused by genetic factors that influence hormone levels in men. It is believed that certain hormones, such as testosterone, may be more sensitive to genetic influences than others. If a man has a family history of gynecomastia, he may be more likely to develop this condition himself.


Obesity is another potential cause of gynecomastia. Excess body fat can lead to an increase in estrogen levels in the body, which can cause the male breast tissue to enlarge. Additionally, obesity increases the risk for other health conditions that may contribute to gynecomastia, such as liver disease or kidney failure.

Marijuana Use

Marijuana use has been linked to an increased risk of developing gynecomastia due to its effects on hormone levels in men. Marijuana use can lead to a decrease in testosterone production and an increase in estrogen production, which can result in enlarged male breast tissue.

Anabolic Steroid Use

Anabolic steroid use is another possible cause of gynecomastia. Anabolic steroids are synthetic hormones that mimic testosterone and have been linked to an increase in estrogen levels in men. This increase in estrogen can lead to an enlargement of the male breast tissue.


Certain medications have been linked with an increased risk for developing gynecomastia due to their effects on hormone levels or other physiological processes. These medications include some antibiotics, antipsychotics, antifungals, antidepressants, anti-androgens (such as finasteride), and heartburn medications (such as cimetidine). It is important for men who are taking any of these medications to discuss their risks with their doctor before beginning treatment for gynecomastia.

Treatment Options

Gynecomastia can be treated with a variety of methods, including surgery, ERAS protocol, and recovery and restrictions. Each method has its own benefits and drawbacks that should be discussed with a board-certified plastic surgeon before deciding on the best course of action.


Surgery is the most common treatment option for gynecomastia. This procedure involves making an incision in the chest area to remove excess fat and glandular tissue. The goal of the surgery is to create a more masculine-looking chest. Depending on the extent of the gynecomastia, this procedure may require general anesthesia or local anesthesia with sedation. After surgery, patients may need to wear a compression garment for several weeks to help reduce swelling and improve healing.

ERAS Protocol

Enhanced Recovery After Surgery (ERAS) protocol is another treatment option for gynecomastia. This protocol combines preoperative preparation, intraoperative techniques, postoperative management, and patient education to reduce surgical stress and improve outcomes. ERAS protocols involve using medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), anticoagulants, antibiotics, and other medications to reduce pain and swelling after surgery. Additionally, patients may need to follow specific dietary guidelines before and after surgery in order to promote faster healing.

Recovery and Restrictions

After treatment for gynecomastia, it is important to follow all postoperative instructions from your doctor in order to ensure proper healing. This may include avoiding activities that are strenuous or cause too much pressure on the chest area such as weight lifting or running. Additionally, you may need to avoid certain medications such as aspirin or ibuprofen which can increase bleeding risk after surgery. It is also important to maintain a healthy diet and exercise regimen in order to maintain results achieved through treatment for gynecomastia.

Prevention and Maintenance

Preventing the development of gynecomastia is possible in some cases, while in others it may be difficult to avoid. The best way to prevent or reduce the risk of developing gynecomastia is to discuss options with a board-certified plastic surgeon. This includes discussing any medications or supplements that may cause or worsen gynecomastia, as well as lifestyle habits such as diet and exercise that can help reduce the risk of developing the condition.

Discuss Options with a Board-Certified Plastic Surgeon

Consulting with a board-certified plastic surgeon is an important step in preventing or reducing the risk of developing gynecomastia. During a consultation, your doctor will assess your medical history, current health status, and any medications or supplements you are taking that could contribute to the development of gynecomastia. Your doctor will also provide advice on lifestyle changes you can make to reduce your risk of developing the condition.

Consider an Enhanced Recovery After Surgery Protocol

If you are considering undergoing surgery for gynecomastia, it is important to consider an enhanced recovery after surgery (ERAS) protocol. An ERAS protocol is designed to help reduce postoperative pain and minimize complications after surgery by using evidence-based practices such as preoperative nutrition and hydration, early mobilization, multimodal analgesia (combination of different pain relief medications), and other strategies that promote faster recovery times and improved outcomes.

Avoid Certain Behaviors That May Cause or Worsen Gynecomastia

It is also important to avoid certain behaviors that may cause or worsen gynecomastia. These include excessive alcohol consumption, smoking marijuana, taking anabolic steroids, and taking certain medications or supplements without consulting with your doctor first. Making healthy lifestyle choices such as eating a balanced diet and exercising regularly can also help reduce your risk of developing gynecomastia.