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Big Bust in Man


In men, as in women, the breast organ consists of the mammary gland and the adipose tissue surrounding it. However, these formations are extremely atrophic (stump). In men, when the breast is so large that it clearly protrudes above the chest wall, it is called ‘gynecomastia’. This can lead to significant mental and social problems, especially in young people. Introversion, posture disorders, wearing loose clothes, avoiding swimming are some of these problems.

At the beginning of puberty, it is natural for men to experience breast enlargement, fullness and tenderness due to hormonal reasons. This situation, which should be discontinuous, can become permanent for various reasons. This condition in young men is mostly not due to a hormonal abnormality. Rarely, tumors, hormonal stability disorders or medications can cause unilateral or bilateral breast enlargement. For the differential diagnosis of these, a detailed history, imaging techniques (such as ultrasound, MR) and hormone analyzes can be performed if necessary.

The treatment of gynecomastia is surgery. Gynecomastia is divided into 3 groups according to the size of the breast and the abundance in the skin. In the first stage, its size is limited, there is no looseness or sagging in the skin. If, after the examination, it is seen that the mass consists of fatty tissue, gynecomastia can be treated only by applying vacuum (liposuction). If the structure of the chest consists of a mammary gland other than adipose tissue, it may be necessary to remove this tissue with a small incision from the nipple and correct the contour.

In the second stage, a woman has a large breast, but the skin does not sag. Again, one-to-one treatment formulas can be applied.

In the third stage, there are slack and sagging skin that requires additional treatment. If the sagging of the skin is advanced, then a team of surgical plans to remove the excess skin comes to the fore.


It is necessary not to take blood thinners for 10 days in the pre-operative period, and some laboratory inspections should be done before the operation. In addition, if there are valuable ailments in the patient’s history and the drugs that he always uses, the doctor should definitely be informed.


The surgery is performed under hospital conditions. General anesthesia may be preferred, or local anesthesia formula with sedation, which allows to calm down slowly and numb the area, can also be applied. In practice, if one of the open surgical formulas is chosen, a drain should be applied to the area. The purpose of the drain is to remove elements such as serum or blood that may accumulate in the operation area and to prevent complications related to them. The drain is usually removed within 24-48 hours.

At the end of the operation, the patient is dressed in a special corset. This corset is very easy to use and makes the patient comfortable as it reduces pain and edema. The corset should always be worn for the first 3 weeks. After 4-5 days, it can be removed and showered. After the 3rd week, it is beneficial to wear the corset during the daytime, especially when doing heavy activities. This deadline is about 2 weeks.


It is usually comfortable after the surgery. There is no movement restriction from the first day. In the first days of the operation, edema, tenderness, pain and even bruises may occur in places. These usually begin to decrease gradually after the first 2-3 days. Sensitivity can last for several weeks.

After the second week, swimming in the pool and the sea is allowed. For 6 weeks, it is tried to avoid factors that may cause edema such as very hot baths and solarium. For example, heavy sports and activities that can cause a blow to the chest area should be avoided for 6 weeks.

This surgery, which has very low complications such as infection and bleeding, is one of the plastic surgery surgeries where patient satisfaction is high if it is planned well.



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