Men presenting with gynecomastia with no identifiable cause should be worked up and evaluated to make sure the condition is benign and no underlying problem or etiology for the breast enlargement exists. Blood work should be comprehensive and should include hormone and thyroid levels. All men should receive a complete physical exam by their primary care physician including the genital area. Additional testing may include mammograms, CTs or Ultrasounds. Offending medication should be identified and stopped or switched. Continuing medications that cause gynecomastia may lead to recurrence after cosmetic treatment.
Men who desire cosmetic intervention should be in good health and free of major medical problems.