Doctors? Plastic Surgeons? Anyone medical please read!?!

Doctors? Plastic Surgeons? Anyone medical please read!?

Ok well I have gynecomastia and it is completely destroying my life. Every day that goes by is another tear down my cheek. I want to get myself taken care of and I have the support of my parents, but they don't know how they can help and quite frankly, neither do I. I've been to my primary and I do have legit gynecomastia. I've gotten my blood test results and I am normal. What steps should I be taking to getting myself taken care of? I'm clueless! I live in south florida, I'm 14 but I've had gynecomastia since age 8 and I started puberty around age 8 too. I'm in the 4-5 stage of puberty now. I am not really overweight, just a little extra baggage I could get rid of easily. Please, I need help bad. I'm gettin no help from anyone!!!!!!!!!!!!

Physiologic gynecomastia occurs in neonates, at or before puberty and with aging. Many cases of gynecomastia are idiopathic, meaning they have no clear cause. Potential pathologic causes of gynecomastia are: medications including hormones, increased serum estrogen, decreased testosterone production, androgen receptor defects, chronic kidney disease, chronic liver disease, HIV, and other chronic illness.
Treating the underlying cause of the gynecomastia may lead to improvement in the condition. Patients should talk with their doctor about revising any medications that are found to be causing gynecomastia; often, an alternative medication can be found that avoids gynecomastia side-effects, while still treating the primary condition for which the original medication was found not to be suitable due to causing gynecomastia side-effects (e.g., in place of taking spironolactone the alternative eplerenone can be used.) Selective estrogen receptor modulator medications, such as tamoxifen and clomiphene, or androgens or aromatase inhibitors such as Letrozole are medical treatment options, although they are not universally approved for the treatment of gynecomastia. Endocrinological attention may help during the first 2-3 years. After that window, however, the breast tissue tends to remain and harden, leaving surgery (either liposuction, gland excision, skin sculpture, reduction mammoplasty, or a combination of these surgical techniques) the only treatment option. Many American insurance companies deny coverage for surgery for gynecomastia treatment on the grounds that it is a cosmetic procedure. Radiation therapy is sometimes used to prevent gynecomastia in patients with prostate cancer prior to estrogen therapy. Compression garments can camouflage chest deformity and stabilize bouncing tissue bringing emotional relief to some. There are also those who choose to live with the condition.