Although gynecomastia is not a serious health hazard, it can cause embarrassment and significant loss of self-confidence. This ultimately leads the patient to notable deficits in social functioning, general health, eating behaviors, attitude and self-esteem. Symptoms for gynecomastia include tenderness and swelling in the breast gland tissue of one or both breasts. The areola — pigmented skin surrounding the nipple — may increase in diameter, and the chest tissue may appear asymmetrical.