Ideal candidates for male breast reduction surgery have male gynecomastia past puberty age. If a patient with gynecomastia is young, physicians may have him wait several years to see if the condition resolves on its own, as it often does during puberty.
A doctor can perform a physical exam and run tests to determine if a case of male breast enlargement is not a sign of another, more serious problem. Sometimes, breast growth can be a sign of breast or testicular cancer.
Other disorders, such as Klinefelter syndrome, which affects the endocrine system, can also cause unwanted enlargement of male breast tissue. Sometimes, gynecomastia is simply a result of excess fat on the body (also known as pseudogynecomastia).
Obesity can also cause male breasts to swell because of poor nutrition. Weight loss could reverse the symptoms entirely, but it is important to check with a physician to determine if this is the case.
Candidates for male breast reduction surgery should have realistic expectations, be in general good health, and consult with their surgeon before deciding whether gynecomastia surgery is the solution.