Hormonal fluctuations during puberty may result in more significant breast tissue in adolescent boys. This may be a result of genetics, but often self-corrects.
Some genetic conditions may make a person predisposed to gynecomastia as they age as well. However, most cases of enlarged male breasts do not result from predisposition. It will be necessary for Dr. Ravi to determine the cause of your condition before helping you understand your candidacy for male breast reduction surgery.