What causes gynecomastia in adults? Gynecomastia is most commonly caused by an imbalance between the hormones estrogen and testosterone. Estrogen controls female traits, including breast growth. Testosterone controls male traits, such as muscle mass and body hair. How does gynecomastia develop? Gynecomastia is a condition that makes breast tissue swell in boys and men. It can happen when the balance of two hormones in your body is thrown off. Although breasts don't develop in men the way they do in women, all boys are born with a small amount of breast tissue. What does fat under the skin feel like? Lipomas often form in the fatty tissue under the skin. These are also the most noticeable ones, as they look and feel like soft, dome-shaped lumps under the skin. The most common sites where lipomas develop are on the shoulders, the chest and the back.
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