Hi. My 18 year old son appears to have Grade 1 gynecomastia. Has had the symptoms for 4 or 5 years. We assume it came on as a result of either his eating disorder (which he had from age 10 to 15) or the medications he was given while he had the E.D. (including Risperdal for about 6 weeks, and Zyprexa, for a longer period of time). He saw a endocrinologist last summer who put him on Tamoxifen for 4 months. There was a decrease in puffiness for about 6 months, but the medication didn't seem to have a lasting effect. MY QUESTION: We have been advised by that endocrinologist as well as my son's pediatrician (neither of whom deal with many cases of gynecomastia) that he should not consider surgery until he is in his early 20's. The (terrific) information on this site suggests that there's no need to wait, and, of course, there are advantages to having the surgery when the skin is at its youngest and most supple. Should he wait? Or is he a good candidate for surgery now? Thanks.