Gynecomastia can affect men of different ages. Therefore, every man can experience gynecomastia at some point in his life, even in his 20s. It depends upon the cause of the disorder if the symptoms will go away over time or if they are permanent. In the latter case, gynecomastia surgery might be an effective solution to treat the problem. Patients should talk to an experienced and certified plastic surgeon to understand how the problem could be fixed.