Gynecomastia occurs in adolescent boys when there is excess tissue growth in the chest area, leading to the appearance of female-like breasts. It is a common disorder of the endocrine system fueled by hormonal imbalances during puberty, and we see it in patients frequently at Wellspring Craniofacial.

Most cases of gynecomastia resolve themselves after about two years as bodily proportions and hormonal fluctuations even out. In rare cases however, the excess breast tissue remains prominent and self-consciousness can set in along with physical discomfort.

Boys who exhibit features of gynecomastia should be examined first to rule out any presence of cancerous breast tissue or signs of another medical condition such as:

  • Klinefelter syndrome
  • Aromatase excess syndrome
  • Peutz-Jeghers syndrome

Surgical removal of the breast tissue is often the most common treatment for gynecomastia, and is typically referred to as mammoplasty.

The procedure involves general anesthesia followed by several breast incisions and a form of liposuction to remove the fatty tissue. If the excess weight of the breast tissue has previously caused the areola or nipple to stretch or sag, they can be surgically enhanced (or repositioned) at this time, along with correcting any issues regarding breast symmetry.

Given that this type of condition is of such a sensitive nature, we will take the greatest care to make sure that your child’s scarring is minimal and that they feel as comfortable, and confident, as possible with their newly contoured chest.

For a gynecomastia consultation, contact our office at 512-600-2888. 


American Society of Plastic Surgeons