The development of gynecomastia is primarily attributed to an imbalance of hormones, specifically an increase in estrogen relative to testosterone. Hormonal fluctuations during puberty are a common cause of temporary gynecomastia in many adolescent boys. In some cases, hormonal imbalances can persist into adulthood, leading to more prolonged or permanent breast tissue enlargement.

The treatment for gynecomastia depends on its underlying cause and severity. In cases where hormonal imbalances or medications are the root cause, addressing the underlying condition or adjusting medications may help reduce breast tissue enlargement. However, when gynecomastia persists and causes significant physical or emotional distress, surgical intervention may be considered. Gynecomastia surgery, also known as male breast reduction, involves the removal of excess breast tissue and fat to achieve a more masculine chest contour, restoring patients’ self-confidence and quality of life.