Gynecomastia often goes away without treatment in less than two years. However, treatment may be necessary if gynecomastia doesn't improve on its own or if it causes significant pain, tenderness or embarrassment.
Medications used to treat breast cancer and other conditions, such as tamoxifen and raloxifene may be helpful for some men with gynecomastia.If you still have significant bothersome breast enlargement despite initial treatment or observation, your doctor may advise surgery. Two gynecomastia surgery options are:
Liposuction. This surgery removes breast fat, but not the breast gland tissue itself.
Mastectomy. This type of surgery removes the breast gland tissue. The surgery is often done endoscopically, meaning only small incisions are used. This less invasive type of surgery involves less recovery time.