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With gynecomastia, tissue inside the breast glands grows. This can cause female-appearing breasts. Gynecomastia guy-nuh-koh-MAS-tee-uh is swelling of the breast tissue in boys or men, caused by an imbalance of the hormones estrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly. Newborns, boys going through puberty and older men may develop gynecomastia as a result of normal changes in hormone levels, though other causes also exist.