The first thing you need to do is dump your doctor. Physiological gynecomastia or breast enlargement in young boys is very common. The majority of causes of breast enlargement in teens and adolescents need no treatment. The only reason to have surgery is embarrassment or poor cosmesis. Other than this reason, physiological gynecomastia can be observed- most cases resolve in a few years.
Breasts can be shrunk with medications but these have severe side effects and should never be used in young adults.
If your son has only mild gynecomastia, simple observation is the best advice. For moderate gynecomastia, the ideal procedure is needle liposuction. Do not go to a surgeon who wants to perform any type of mastectomy, because this is not the standard of care today. Needle Liposuction, of course, will also cost you a lot of money.
If your son has no problems with his appearance, then the best suggestion is keep away from surgeons. Even though there are great plastic surgeons, mistakes often happen which sometimes are permanent and disabling.
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