A male with gynecomastia may have significant problems in his quality of life.
Factors affecting the impact of gynecomastia:
(1) severity of the gynecomastia
(2) ability to keep hidden
(3) underlying cause and health significance
(4) duration
Factors affecting the person's psychological response:
(1) vulnerability to ridicule, as in adolescence
(2) stigma
(3) self-image and body dissatisfaction
(4) anxiety and depression
A patient with significant impairment in the quality of life may benefit significantly from surgery.