Gynecomastia surgeries: Gynecomastia is the highly developed breast in men. Genetic, hormonal, the use of certain drugs, too much weight gain can cause gynecomastia.
Gynecomastia is the very developed breast in men. Genetic, hormonal, the use of certain drugs, too much weight gain can cause gynecomastia. Gynecomastia is a condition that disrupts the self-confidence of the person who is mentally disturbed. Some men may restrict their activities (such as swimming, training) because of this situation. They may try to hide their large breasts by choosing clothes. Gynecomastia can be unilateral or bilateral. It is common bilateral. Malignant tumors should be excluded, especially when unilateral. In gynecomastia, there may be excess fat or breast tissue. Sometimes there may be excess skin (especially due to weight loss).
Who can be operated on?
For those who do not have a rough condition for surgery
Those who are mentally disturbed by the image of their breasts
Those who limit their physical activities due to gynecomastia
Those with social shyness due to gynecomastia can be operated on.
Surgery and anesthesia
With gynecomastia surgery, the breast size is reduced and the chest area is flattened. It is aimed to reveal the contours of the chest. It can be performed under local, general and sedation anesthesia. The type of anesthesia is decided according to the size of the breast tissue, the operation to be performed and the patient’s request. The type of surgery is decided according to the structure of the breast tissue. With ultrasound and examination, an idea about the structure of the breast tissue is obtained. If the cause of gynecomastia is excess fat tissue, more benefits are obtained from liposuction. Liposuction is the removal of excess tissues by entering with cannulas from a few scars of 0.5 cm. The advantage of liposuction is that there are fewer scars and more adequate contours are obtained. With liposuction, less bleeding and edema occur, and smoothing occurs more quickly. The disadvantage may be insufficient tissue removal in cases where there is excess mammary gland tissue. Sometimes revision surgery may be required. If the cause of gynecomastia is excess breast gland tissue and skin removal is required, open surgery is performed. The surgical scar is placed in a crescent shape at the end of the nipple with the normal skin. If it is necessary to remove the skin, the surgical scar is extended to the sides on both sides of the nipple. During open surgery, drains are often used to reduce bleeding and fluid accumulation.
Postoperative
Wraps and bandages are used to reduce bleeding and edema and to prevent sagging of the skin. Depending on the bleeding situation, the drain is removed on the 1st or 2nd day. You stay in the hospital for 1 or 2 days. There may be edema and bruises in the first few weeks. After a few months, the state of the chest will be fully revealed. There may be pain in the chest area with arm movements for a few weeks.
Risks
As in any surgery, there is a risk of anesthesia, bleeding and infection. There may be asymmetry in the middle of the two sides. There may be irregularities under the skin. There may be sagging of the skin. There may be a decrease or loss of nipple sensation.
