- Gynecomastia (Male Breast Growth)
Gynecomastia is the enlargement of the male breast and a similar appearance to the female breast. It is an issue observed in almost half of the male population. Since it makes men’s bodies feminine, it affects their mental state in the wrong direction, causing discomfort especially in summer. Gynecomastia may occur due to excessive weight gain, as a result of some hormonal disorders or as a side effect of some drugs.
- In which cases is gynecomastia seen?
Gynecomastia often occurs when the level of estrogen (female hormone) in the body rises and the level of testosterone (male hormone) decreases. This condition occurs physiologically in infants, adolescents and the elderly. Gynecomastia is observed in 40% of adolescents and 35% of elderly men. Most of the gynecomastia in adolescence disappear within a few years. Apart from this, gynecomastia can be observed in various hormonal disorders, in some types of cancer, especially in lung cancer, and in systemic diseases such as AIDS. Various heart medications, cancer drugs, hormone-containing drugs and drugs can also cause gynecomastia. Pseudo gynecomastia is the case of the breast appearing large due to lubrication without enlargement of the mammary gland, which occurs due to obesity. False gynecomastia is also a very common problem.
- How is a patient with gynecomastia treated?
First, the cause of gynecomastia should be understood. If the patient is thought to have a hormonal disorder, it is first evaluated by an Endocrinology Specialist. Hormone tests are done. If there is a disorder, treatment is given for it. In gynecomastia that occurs during adolescence, it is usually sufficient to wait. Most of these resolve within a few years. Other than these, gynecomastia can be corrected by surgical processes.
- What are the Surgical Procedures?
In the majority of patients with gynecomastia, it is possible to get sufficient results with liposuction alone. The results can be more satisfactory, especially since the skin tightening is also provided following the removal of fat with laser liposuction. In cases where this is not enough, excess breast tissue is removed with a short incision made around the nipple. In patients with excess skin and enveloping the nipple, the skin is removed in a form that will leave the scar around the nipple.
- What should be done and what should not be done before the operation?
As in all surgeries, blood thinners such as aspirin and smoking should be stopped 2~3 weeks before the surgery in gynecomastia surgery.
Green tea, flaxseed, cherry stalk, tomato seeds have a blood thinning effect when consumed heavily in herbal products.
- Is Anesthesia Necessary in Gynecomastia Surgery?
In gynecomastia cases where glandular tissue growth is dominant, the operation is performed under general anesthesia and in the operating room environment. Events where only liposuction will be performed can also be performed with sedation.
- What Happens After Gynecomastia Surgery?
In patients undergoing liposuction, a corset is used for 2 weeks after the operation.
After three days, he can take a bath. After three days, he can go to the inspection and then return to work and start his usual daily activities. In the first 3 weeks, he should not do sports other than walking. After the third week, he can do all sports activities except arm and chest movements. After the sixth week, all kinds of sports activities are free. In the first days after the operation, the breasts become edematous and hard, and there may be bruises. The bruises go away at the end of the first week. Swelling and stiffness are evident in the first 3 weeks. After the third week, the swelling regresses rapidly. Breasts take their full form only in the third month. To accelerate the descent of edema, processes such as lymph drainage and radiofrequency can be applied after the third week. Subsequent inspections are made at the end of the 3rd week, 3rd month, 6th month and first year unless there is a special situation.