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Schedule A ConsultationThe American Society of Plastic Surgeons published a study taken in 2012, which showed that gynecomastia is the number one procedure performed on teenage boys in the U.S. The average age of these boys ranges between 13-19. Since the first statistics were recorded in 1997, gynecomastia surgery has doubled. This can be attributed to the increase of awareness and understanding about gynecomastia. As a result, we are finally seeing boys and men start to come out of hiding and do something about their problem.
1. Onset and Causes of Teen Gynecomastia
Gynecomastia usually occurs when boys enter puberty. The chest area starts to enlarge and take on a feminine appearance—some boys even look like they have “man boobs.” This can become uncomfortable and painfully embarrassing. Whether mild or severe, it is humiliating for teenage boys. Most of the time, the issue resolves itself by adulthood. However, for many, the problem never goes away. While the exact cause of gynecomastia is still unclear, studies suggest it may be linked to hormonal changes during puberty. Other potential contributors include drug use (such as marijuana or steroids) and obesity in teenagers.
2. Emotional Toll and Daily Challenges
Regardless of the cause, we know this condition can rob teenage boys of their adolescence. Living with enlarged breasts takes a significant emotional toll on both teens and their families. It’s common for boys to start wearing bulky or heavy clothing to hide their chest, even in hot weather. A common sign is someone constantly pulling their shirt away from their body to prevent others from noticing. This behavior stems from a deep fear of being teased or judged.
3. Social Withdrawal and Mental Health
Many teens with gynecomastia avoid social situations like the beach or pool, where taking off their shirt would expose their condition. Over time, boys may become reclusive, avoiding friendships, dating, or group activities. This isolation can lead to sadness, depression, and moodiness, making gynecomastia not just a physical concern—but a serious emotional and psychological one as well.
The more we can bring the topic of gynecomastia to the fore-front, the more likely boys will be to start opening up about their condition. The first step in getting help is for patients to understand they are not alone and there is something that can be done to give them their life back.
Dr. Joseph Cruise is a board-certified plastic surgeon with over 20 years of experience. Regarded as one of the top gynecomastia surgeons in the world, Dr. Cruise has gynecomastia-specific content that can be found at lagynecomastia.org. Dr. Cruise has dedicated his career to cosmetic surgery but has also had extensive training in General Surgery, Hand Surgery, and Microvascular Surgery. Dr. Joseph Cruise is also a member of the Rhinoplasty Society as well as the American Society of Plastic Surgeons.
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