09/14/2026
Teenage gynecomastia can affect much more than a young manâs chest. It can impact his confidence, mental health, and everyday life.
Dr. Cruise often sees what he calls the âgynecomastia routine,â a pattern of behaviors teenagers may develop when theyâre embarrassed or self-conscious about an enlarged or feminized chest.
Parents may notice their son hunching his shoulders, wearing oversized or dark clothing, constantly pulling his shirt away from his chest, avoiding swimming pools and beaches, or becoming terrified of changing in a locker room.
These behaviors can be signs that teenage gynecomastia is causing significant psychological distress. During some of the most formative years of a young manâs life, the condition can contribute to anxiety, depression, social isolation, and in severe cases, suicidal thoughts.
For appropriate teenage patients, gynecomastia surgery can be about far more than appearance. Dr. Cruise considers surgery when gynecomastia has been present for at least two years and is causing significant psychological problems.
If you recognize the âgynecomastia routineâ in your teenager, talk to him. He may be struggling with his chest and simply be too embarrassed to tell anyone.