American Society of Plastic Surgeons announced that around 14,000 boys between 13 and 19 years of age had a surgery to reduce the size of their breasts. The number equals 70 % of all the male patients who underwent the surgery last year and shows an increase of 21%.

The biggest problem with the boobs is that age is that they are often caused by the hormonal fluctuation of puberty that will resolve when testosterone levels increase. However, in the society of quick fixes, these boys would rather undergo a surgery than wait for a few years for the problem to resolve on its own.

Just like teenage girls, boys are trying to match up the models on the covers of the fitness magazines and sometimes may go just a bit overboard. Many have the support of the family.

The biggest problem seems to be intense shame related to their breast size and the bullying by their friends.

Plastic surgeons report that it is important not to operate while still in puberty. If the surgery is done too early, the raging hormones may lead to repeated breast enlargement. Besides linking gynecomastia to hormonal fluctuations and obesity, many surgeons have added abuse of steroids to the list of possible causes. Once the boys get off the steroids, hormonal changes may occur. If endocrinologist cannot help, surgeons sure can.
Other causes of enlarged breast tissue are decreased testosterone production, kidney failure, testicular tumors and liver disease. The condition can be addressed with hormone treatments such as testosterone patches or even Tamoxifen, an estrogen-inhibiting drug used in breast cancer treatment in women. All of these disorders need to be ruled out before undergoing any kind of surgical procedure.

Operating gynecomastia does not require general anesthesia but it does require post op rest and wearing a compression garment for a month. The prices range between $4,000 to $10,000 depending on the complexity of the procedure.