Gynecomastia can occur at any age but is more common in older men. Factors such as hormonal levels, medications, and other lifestyle habits can increase the chances of developing gynecomastia. Here are some causes and available treatments for gynecomastia in older men for those experiencing this condition or considering male breast surgery.
Causes of Gynecomastia in Older Men
Hormonal Imbalance
One of the primary causes of gynecomastia in older men is hormonal imbalance. Testosterone levels naturally decline, while estrogen levels may remain the same or even increase. A lower testosterone level reduces the appearance of male features like the chest area. This imbalance can cause the breast tissue to enlarge.
Medications
Certain medications contribute to the development of gynecomastia. These include anti-androgens, which are often used to treat prostate conditions, anabolic steroids, heart medications, and some antidepressants. These medications change hormone levels and contribute to the growth of breast tissue.
Obesity
Obesity can increase fatty tissue, which can convert androgens into estrogens and cause hormonal imbalances. The additional fat in the chest area can give the appearance of enlarged breasts but can be treated through gynecomastia surgery.
Chronic Kidney or Liver Disease
Diseases affecting the liver or kidneys also impact hormone levels. Both organs regulate hormones and any dysfunction that can lead to an imbalance, increasing the risk of gynecomastia.
Alcohol and Substance Use
Excessive alcohol consumption and substance use can also lead to gynecomastia. These substances affect hormone levels by reducing testosterone and increasing estrogen, resulting in the enlargement of breast tissue.
Testicular Conditions
Conditions that affect the testes, like tumors or infections, can also disrupt the balance of testosterone and estrogen. These conditions often require medical intervention and may increase the need for gynecomastia surgery.
Thyroid Disorders
Thyroid-related issues like hyperthyroidism can contribute to gynecomastia in older men. The thyroid gland balances hormones, and any dysfunction can risk developing the condition.
Natural Aging Process
Finally, natural aging is a factor because hormonal fluctuations are inevitable. While some men may not be significantly affected, others may find that the condition becomes pronounced enough to consider male breast surgery.
Treatments for Gynecomastia in Older Men
Observe Signs and Symptoms
Observe signs and symptoms in cases where gynecomastia is mild and does not cause significant discomfort. Monitor if the chest size reduces after heavy exercise. If male breasts are still enlarged after losing weight, check for swelling, pain, tenderness, fluid coming out of one or both breast nipples, a firm or hard lump, or dimpled skin on the breast.
Medication Adjustments
A healthcare provider may adjust or change the prescription if specific medications contribute to gynecomastia. Improving prescriptions can sometimes reverse the condition without the need for surgery.
Hormone Therapy
Hormone therapy can be an effective treatment for gynecomastia, especially if it is linked to low testosterone levels. By addressing the underlying hormonal imbalance, the enlargement of breast tissue may be reduced.
Lifestyle Modifications
Weight loss, reducing alcohol intake, and avoiding substances that contribute to gynecomastia can be effective ways to manage the condition. These lifestyle changes not only help with physical appearance but also improve overall health and wellness.
Surgery
For more severe cases, surgery is often the most effective treatment. Gynecomastia surgery involves the removal of excess breast tissue through techniques like liposuction or mastectomy. This procedure is often performed on an outpatient basis and can provide significant relief for those affected by age-related gynecomastia.
Treatment of Underlying Conditions
Treating underlying health conditions, such as thyroid disorders or chronic kidney disease, can also help manage gynecomastia. When these conditions are properly managed, hormone levels may stabilize, reducing the severity of gynecomastia.
Schedule Your Consultation
If you’re interested in gynecomastia surgery in New York, contact our plastic surgeon at Glassman Plastic Surgery. Dr. Glassman and our team understand these causes and the available treatments, such as male breast surgery. During your consultation, we will assess eligibility for the procedure and personalize a plan for your appearance goals.
