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Hormonal Imbalance and Permanent Chest Changes : Is Surgery Necessary?

2 months ago

Can hormonal imbalance cause permanent changes in the chest area that cannot be corrected without surgery?

Asked By Lakshay | Male | Age 16

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2 months ago

Answers (1)

Dr. Prateek Thakur

M.B.B.S, M.S. (General Surgery), M.Ch. (Plastic Surgery), DrNB (Plastic Surgery) | 16 Years Experience Overall

Answered 14/11/2025

Yes, let me explain. Hormonal changes usually begin around the age of 12 to 13 years, when estrogen and other female hormones temporarily rise in boys. This condition is called pubertal gynecomastia. In this type, there is a small chance of reversal.

The first two to three years are critical. During this period, testosterone levels increase naturally, and as the hormonal balance corrects itself, gynecomastia may reduce on its own. That’s why when a 12- or 13-year-old patient comes with early signs of gynecomastia, doctors usually recommend waiting and monitoring, along with hormonal check-ups.

However, if after two to three years the chest remains prominent and the gynecomastia does not reduce naturally, it is considered permanent. In such cases, natural methods or correcting hormonal balance will not resolve it, and the only effective treatment at that point is surgery.

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