What is gynecomastia?
Gynecomastia is the excessive breast development in men. It is a disorder that is seen due to hormones and has a solution today.
Although it is seen in adolescents, it can also be seen in older people. However, adolescents most commonly experience this problem. This is not harmful to health. But it causes damage to one’s self-confidence.
Why Does Gynecomastia Occur?
It is often caused by changes in hormone balance. A temporary period of gynecomastia may occur in newborn babies with the effect of hormones passed from the mother.
In puberty, which is a hormonal transition period, breast enlargement is a natural phenomenon in men. However, this period, which we expect to be temporary, may be prolonged and permanent.
It is usually seen in young men who are overweight. Obesity-related gynecomastia is more common. Male breast enlargement, which is seen in many men during adolescence, resolves spontaneously after puberty.
Hyperthyroidism, conical diseases, hypothyroidism can be counted among the causes of gynecomastia. Regular and long-term use of alcohol, drugs, amphetamines, antidepressants, bodybuilding drugs can cause breast enlargement in men.
What are the Causes of Gynecomastia?
Systemic drugs used,
Bodybuilding drugs can be counted among the causes of gynecomastia.
Experts divide gynecomastia in men into 4 groups:
Stage 1: In this stage, which does not cause laxity and sagging in the skin, the patient is faced with only a limited breast size.
Stage 2: When it comes to stage 2, the appearance of the breast resembles a large female breast. But the skin does not sag.
Stage 3: In this stage, surgical intervention is necessary to remove the looseness and sagging of the skin.
Stage 4: In the last stage, the male breast looks like a real female breast.
What are the Types of Gynecomastia?
There are three main types: glandular, mixed type, lipomatous.
Real breast tissue provides glandular type breast growth.
Lipomatous type of adipose tissue increase occurs.
There is an increase in breast tissue in the mixed state. At the same time, an increase in adipose tissue is observed. Mostly mixed type is seen.
How is Gynecomastia Surgery Performed?
Surgical intervention is the most effective and definitive method for gynecomastia.
In glandular type, hard breast tissue is more dominant. It must be surgically removed.
In the mixed type, there is excess glandular tissue and adipose tissue. Surgery and liposuction are used together.
There is an excess of adipose tissue in the fatty type. It can only be treated with degreasing.
Scarless Gynecomastia Treatment (Liposuction)
When liposuction is performed in surgery, the procedure is done through small holes. In this way, no surgical scars are formed.
Gynecomastia Surgery with Incision
Only fat and mammary gland intake is not sufficient for extremely large or even sagging breasts. With the surgery of gynecomastia, the breast tissue is removed with the skin on it. The nipples are reduced to an appropriate extent.
Where it should be, the skin is positioned in the form of a patch. In this way, a rib cage without flat breast prominence can be obtained. The only disadvantage of the procedure is the fine line scar on the thorax.
In What Am I Doing Treatment
You should wear a chest corset immediately after the operation. The corset must be worn continuously for 4 weeks. Total corset wearing time is around 6 weeks. 1 month after the operation, lymph drainage massage methods are used with the help of hand or device.
How Does Stage 1 Gynecomastia Surgery Happen?
First stage gynecomastia can be treated with liposuction. Mammary gland removal may also be required.
How Does Stage 2 Gynecomastia Surgery Happen?
In patients with second stage gynecomastia, fat removal is applied again. During the operation, after the liposuction procedure, if it is considered that there is a sufficient reduction in the sub-nipple tissue, the mammary gland does not need to be surgically removed.
How Does Stage 3 Gynecomastia Surgery Happen?
In the third stage, fat removal and mammary gland removal are performed together. If the patient is young and does not have an advanced size, it is easier to collect the resulting skin abundance.
How Does Stage 4 Gynecomastia Surgery Happen?
In the fourth stage, fat removal and mammary gland removal are carried out together.
What Should I Do Before Gynecomastia Operation?
In the pre-operative period, blood thinners should not be taken for 10 days. Laboratory checks are required. If there are significant disorders in the patient’s history and medications that he or she uses, the doctor should be informed. Cigarette consumption negatively affects wound healing in the operation of gynecomastia, as in all surgeries.
Gynecomastia Recovery Process
How the process will progress after the surgery depends on the surgical technique. If the fat removal technique is used for the patient, the patient should pay attention to himself and rest during the recovery period. In cases where surgical intervention is required, there is a longer recovery period.
It is natural to have edema and swelling in the treated area after the operation. One does not need to do anything; These effects disappear after a while. You may feel muscle pain after the operation. You should avoid strenuous exercise for three days after the procedure.
You should not move your arms and shoulders too much. You can take a shower 3 days after the operation. However, keep the shower time short. The patient can take walks, provided that they are short-term.
What are the Risks of Gynecomastia Surgery?
Blood collection due to bleeding may occur after surgery for gynecomastia, as in every surgical intervention. With the use of drains, this risk can be made less. The possibility of infection can be greatly reduced by the antibiotics used by the person.
Irregularities in the thorax may occur. This situation can be eliminated to a great extent with massages. If it is a permanent condition, it can be improved with oil injection.
Questions About Gynecomastia
Which Anesthesia Is Gynecomastia Surgery Performed?
Only mild cases of liposuction are performed with local anesthesia using sedatives. General anesthesia may be preferred in cases where surgical procedures will be performed.
How Long Does Gynecomastia Surgery Take?
If only liposuction will be used to remove fat, it will be completed in an average of 45 minutes. If there is mixed type gynecomastia, the mammary gland is surgically removed as well as fat removal. As a result, the surgery takes around 1 hour. If there is sagging in the breast, the breast and adipose tissue are removed together with the skin. As a result, it is transferred to where it should be. In this case, the operation time is around 2.5 hours.
Is There Any Pain After Gynecomastia Surgery?
After the operation, the patient does not feel pain or pain. The patient should rest for the first 2-3 days. The patient can walk after the surgery. However, resting helps speed up the healing process.
I am overweight, will gynecomastia regress after losing weight?
Even if it is not completely cured, it is very useful especially in lipomatous type gynecomastia. The best method is to make the breasts as small as possible by doing sports and to remove the rest with liposuction or surgery.
I Have Had Gynecomastia Surgery, Will There Be Recurrence?
Unless there is a medical problem, the breast does not grow again after the operation of gynecomastia.
Is There Any Scar After Gynecomastia Surgery?
If liposuction is performed, there will be no scar in the operation area. If the mammary gland is removed, a very thin line remains under the nipple.
Will I use a corset after the surgery?
The corset should be used for the period recommended by the doctor after the surgery. It is important to use this corset continuously. It is very easy to use. It is recommended to wear a corset for 2-3 weeks.
When can I do sports after the surgery?
About a month after the surgery, you can start doing sports without forcing yourself and without being heavy. Do not prefer heavy sports too much.
Does SSI Cover Gynecomastia Surgery?
In public hospitals, gynecomastia surgery is performed for a certain fee. If you have a committee report from state hospitals, they perform gynecomastia surgery free of charge.
Gynecomastia Prices 2024
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