Hi you didnt mention whether you have used medications or not. If you have used medications and still no benefit. I would suggest you to go for surgery. Reduction mammoplasty is considered for patients with macromastia or long-standing gynecomastia or in persons in whom medical therapy has failed. It is also considered for cosmetic reasons (and for accompanying psychosocial reasons). More extensive plastic surgery may be required in patients with marked gynecomastia or who have developed excessive sagging of the breast tissue due to weight loss. If surgery is necessary for patients with pseudogynecomastia, liposuction may be warranted. I hope I have answered your doubt. Wish you good health.