Male breast reduction patients run the gamut from many well-known body builders with impressive titles to high profiled businessmen, athletes and young men alike. The condition can be: 

1. Congenital Gynecomastia - (at age 12- children begin to see breasts developing). Sometimes, it disappears at maturity or...

2. Acquired Gynecomastia- (from medications such as steroids, aspirin, digitalis, etc.), from hormonal changes (part of syndrome), or, although rare, from cancer which is seen more in male patients today than ever before. 

Symptoms may include pain, discomfort or discharge from the nipples or hard masses both unilateral and/or bilateral.