What are the different types of gynecomastia?

types of gynecomastia

Picture this! You’re a young man going through the rollercoaster ride of puberty, and suddenly you notice an unexpected change – your chest starts to feel tender, and you notice some swelling. 

Or perhaps you’re an adult male battling stubborn breast enlargement, causing physical discomfort and emotional distress. 

You may be experiencing Gynecomastia, a condition affecting males of all ages. But did you know that Gynecomastia comes in different forms? 

Let’s uncover the different faces of Gynecomastia and shed light on what you need to know. 

What is Gynecomastia?

Gynecomastia, also termed “male boobs,” is a medical condition defined by the enlargement of breast  males. It occurs when there is an imbalance in the hormones estrogen and testosterone, leading to the development of excess breast tissue. Gynecomastia affects one or both breasts and may result in swelling, tenderness, or pain in the affected area.

In most cases, Gynecomastia is harmless and resolves independently over time, especially in puberty-related cases. However, if Gynecomastia persists, causes significant discomfort or pain, or is accompanied by other concerning symptoms, it is suggested to consult a professional for evaluation and appropriate treatment options.

What causes Gynecomastia?

While it is common and typically harmless, many men may feel self-conscious or embarrassed about their appearance. Understanding the various causes of Gynecomastia can help explain why it occurs and how to address it.

Hormonal Imbalance: An imbalance between estrogen (female hormone) and testosterone (male hormone) levels can lead to Gynecomastia. If estrogen levels are relatively high or if there is a decrease in testosterone production, it can result in the development of breast tissue.

Puberty: Gynecomastia is relatively common during puberty due to hormonal fluctuations. It typically resolves independently within a few months to a couple of years.

Medications: Some medications can cause Gynecomastia as a side effect. These may include anabolic steroids, anti-androgens (used in prostate cancer treatment), some antidepressants, and certain medications for heart disease and ulcers.

Ageing: Hormonal changes that occur with ageing can sometimes cause Gynecomastia, particularly in older men. This may be due to a decline in testosterone levels and a rise in estrogen levels.

Weight Changes: Significant weight gain or obesity can contribute to Gynecomastia. Adipose tissue (fat cells) can convert androgens (male hormones) into estrogen, potentially leading to breast tissue development.

Breast Cancer: Men can get breat cancer, too. However, with 1 % it is quiet rare.

male breast in obesity

Medical Conditions: Some medical conditions can contribute to Gynecomastia. These may include liver disease, kidney disease, thyroid disorders, testicular disorders, hormone-producing tumours, and genetic disorders like Klinefelter syndrome.

Substance Use: The use of certain substances can trigger Gynecomastia. Recreational drugs like marijuana, heroin, amphetamines, and alcohol have been associated with its development.

If you’re concerned about your situation with Gynecomastia or want more information about available treatments tailored specifically for you – including surgical interventions if necessary – consulting with Dr. Robert Hierner fo male breast reduction surgery in Dubai will provide valuable insights and guidance toward achieving your desired outcome.

The different types of Gynecomastia

Understanding the various types of gynecomastia is crucial for accurate diagnosis and appropriate treatment.

Physiological Gynecomastia

  • Common during infancy, puberty, and older age.
  • Usually temporary and resolves on its own.
  • Hormonal imbalances, such as elevated estrogen or decreased testosterone, contribute to its development.

Adolescent Gynecomastia

  • Occurs during puberty in boys.
  • Hormonal fluctuations and imbalances are common during this stage.
  • It often resolves within two years without intervention.
  • Regular monitoring is recommended as a part of gynecomastia treatment.

Adult Gynecomastia

  • Develops in adult males, typically between the ages of 50 and 80.
  • Caused by hormonal changes, weight gain, ageing, or certain medications.
  • It may require a medical evaluation to identify underlying causes and determine the appropriate treatment.

Bodybuilder Gynecomastia: 

  • It is typically caused by the use of anabolic steroids, such as exogenous testosterone derivatives.
  • While the problem with hormonal balance in newborns and pubescent boys usually goes away on its own, interfering with hormonal balance through the use of anabolic steroids can lead to irreversible gynecomastia if not detected and treated in time.
bodybuilder gynecomastia


  • Also known as false Gynecomastia.
  • Characterized by an increase in breast size due to excess fat deposition.
  • Not caused by breast glandular tissue enlargement but rather by excess fatty tissue.
  • Often associated with obesity and can be improved with weight loss.
  • This commonly resolves independently and may not require gynecomastia treatment.

Drug-Induced Gynecomastia

  • Certain medications can trigger Gynecomastia as a side effect.
  • Examples include anabolic steroids, anti-androgens, some antidepressants, certain chemotherapy drugs, and certain medications used in prostate cancer treatment.
  • Discontinuing the medication or switching to an alternative under medical supervision may resolve the condition.

Unilateral Gynecomastia

  • Enlargement of breast tissue in only one breast.
  • It can result from an underlying medical condition, such as a tumour or infection, and requires further evaluation.
  • In some cases, surgical intervention may be necessary to correct the asymmetry as an effective gynecomastia treatment.

Severe Gynecomastia

  • Refers to extensive enlargement of breast tissue in males.
  • It can cause physical and psychological distress.
  • Surgical intervention, such as male breast reduction in Dubai or mastectomy, a body lift in Dubai procedure is often necessary to achieve desired results.


Each type of Gynecomastia requires individualized care tailored to the underlying cause and severity of symptoms experienced by each patient. It is crucial to consult an expert to understand the types of gynecomastia for prompt gynecomastia treatment in Dubai.

Consult Professor Dr. Robert Hierner for Gynecomastia treatment

Understanding your type of Gynecomastia can help determine the most effective treatment approach. 

Professor Dr. Robert Hierner specializes in treating Gynecomastia and has extensive experience helping patients regain confidence and achieve a more masculine chest appearance. 

With his expertise in gynecomastia surgery in Dubai, Professor Dr. Hierner will assess your condition, discuss your goals, and recommend the best course of gynecomastia treatment.

Best gynecomastia surgeon in dubai