First, diet and exercise are to be strongly recommended – they are great for your general health. But neither will do too much for your gynecomastia. Why?
EXERCISE: Many times, men with gynecomastia has worked out to build up their chest muscles only to be disappointed in their contour. Actually, the excess gynecomastia tissue on the chest sits on top of the muscle and is therefore pushed further out as the muscle enlarges – thereby continuing to mask the muscle contour. It is only after appropriate surgery, when the excess tissues have been removed, that the skin will tighten spontaneously (oftentimes right on the operating table during surgery) and will then shrink down and reveal the nice contours of the underlying chest muscles.
DIET: If a man is overweight, there is predictably an excess of both fat and breast tissue on his chest. Should he lose a significant amount of weight, the fat component will diminish somewhat, but the breast tissue will remain intact. Thus, his breast will become slightly smaller but so will the rest of his body and therefore the disparity of his chest to the rest of his body will remain. In fact, the breast tissue will persist and become even more compacted and prominent, since the intervening fat tissue has been lost.