Gynecomastia which arises during puberty, does not typically recur after surgical correction in the absence of other inciting causes. If there is a significant fatty component, post-operative weight gain might result in some recurrence. If the condition arose from use of medication or anabolic steroids, further use could lead to recurrence.
What is Gynecomastia?
Gynecomastia is a condition in which the breasts become enlarged in boys or men, sometimes causing discomfort or nipple tenderness. It is usually the result of a hormonal imbalance and typically occurs during infancy, adolescence, or mid- to late-life. The condition often goes away on its own, but treatments are available for severe or persistent cases. When gynecomastia is the result of an underlying health problem, treatment of that problem usually improves the gynecomastia as well.
Up to 70 percent of boys in early to mid-puberty experience gynecomastia because of the normal hormonal changes that occur during puberty. Gynecomastia is also common among middle-aged and elderly men. In this population, up to 65 percent of men are affected.
COMMON CAUSES OF GYNECOMASTIA
Although people tend to think of androgens as “male hormones” and estrogens as “female hormones,” people of both sexes produce both types of hormones. In males, androgens are by far the predominant hormone, but small amounts of estrogen are also present. Gynecomastia can happen when the balance shifts, with an increase in estrogen or decrease in androgens. This can occur because of expected hormonal changes during puberty or aging, or because of the use of certain drugs or herbal products.