- Causes of gynecomastia (male breast enlargement)
Breast enlargement in men is called gynecomastia. Gynecomastia occurs very frequently in the period when boys enter puberty. A valuable part of them can be lost in time. In some, gynecomastia may continue. Being overweight can also increase gynecomastia. This is a natural process. Rarely, it can occur due to various diseases and drugs used. It can be unilateral or bilateral. In some men, gynecomastia can be seen in clothes, especially under a stretch t-shirt, and may cause visual impairment. For these people, swimming in the sea, swimming pool, doing sports with tight clothes is a source of great tension. In order to hide this situation, there may always be a need to wear a wide t-shirt. This can lead to loss of self-belief in the person. In such cases, an indication for surgical treatment emerges.
- Interview before gynecomastia treatment (male breast reduction surgery)
If you are considering male breast reduction, that is, gynecomastia surgery, the first thing you should do is to talk to an experienced plastic surgeon. In this meeting, your current complaints and post-operative expectations should be sincerely expressed.
In this interview, your doctor will examine you: In this examination, he will evaluate and take notes on the current size of the breasts, the condition of the breast skin, asymmetries, sagging, deformity or not, which will affect the outcome of the surgery. If you have accompanying diseases (such as heart disease, diabetes), the surgeries you have had or the medications you use regularly will be questioned. If this is the case, inform your doctor about it.
Your doctor will compare these examination findings and your expectations from this surgery, inform you about the most appropriate treatment option, and explain specific details about what to realistically expect from the surgery. Again, in this meeting, your doctor will inform you about the surgical technique, anesthesia, where the surgery will be performed and the preparations for the surgery. It will enlighten you about the possible risks and complications of the surgery. Before deciding on this surgery, ask all the questions in your mind about this bet and get answers. Ask the bets again whether you listen to them carefully or not. In this meeting, you can get information about the cost of the surgery. After this meeting, you will make your own evaluation and decide on the surgery.
When you decide to have surgery, you will be asked to have tests to prepare for the surgery. If the results of these tests are within the normal limits, you will be evaluated as suitable for the surgery and the day and time of the surgery will be decided.
- How will the gynecomastia surgery day be?
After your hospitalization, you will be taken to your room. Your doctor will visit you in your room and plan the surgery. Afterwards, the anesthesiologist gives information about anesthesia and asks you questions about anesthesia. You will be given a sedative injection before going down to the operating room. This will reduce your excitement and the tension and tension that may occur due to the surgery, calm you and encourage you.
Anesthesia will be administered after landing in the operating room. Gynecomastia surgery can be performed under general anesthesia. If general anesthesia will be applied, you will sleep during the entire operation. Your doctor will offer the most suitable option for you.
- How is gynecomastia, male breast reduction done?
Different techniques are used in gynecomastia operations. The condition of the breast tissue is valuable in the selection of the technique. The male breast consists of fat and breast tissue, which we call glands. If the breast consists of mostly fat tissue, gynecomastia can be treated with the liposuction technique to be applied to both breasts. If there is obviously gland tissue with adipose tissue in the breast, then gland excision can be performed together with liposuction. After liposuction is performed, a half-moon incision is made from the lower edge of the nipple density, and the breast tissue, that is, the gland tissue that causes breast growth, can be removed as a disc and the breast can be brought to its normal size. In this technique, a barely noticeable scar remains under the breast. good results are obtained. If there is a very advanced enlargement and most importantly, the breast is drooping, it may be necessary to remove the skin tissue around the breast density in addition to gland excision and liposuction to remove the sagging. In this case, a surgical scar may remain that surrounds the chest black. Depending on your situation, your surgery is performed with one of these 3 techniques. Individual factors and your individual preferences are valuable in determining the technique to be chosen in male breast reduction surgery. Your surgeon will make the best decision in this bet after discussing it with you.
- Which is the best method in the treatment of gynecomastia seen in people who are interested in bodybuilding?
Individuals who have done bodybuilding and have gynecomastia want to get rid of their breast size for aesthetic reasons. However, the pectoral muscle of the body bulding is very developed. Due to the very low body fat rate, there is almost no subcutaneous adipose tissue. These two conditions and the fact that the main cause of gynecomastia in individuals who are interested in bodybuilding is the pure gland, that is, the size of the breast tissue, makes gynecomastia treatment different from others. In gynecomastia that occurs in adolescence, the size of the adipose tissue and gland is often equal or one is a little more and one is a little less. While liposuction is highly effective in gynecomastia that occurs after puberty and persists, liposuction or laser lipolysis alone is almost ineffective in gynecomastia that occurs after bodybuilding. This situation is presented in detail in the bodybuilding and gynecomastia section. The almost complete removal of the gland, that is, the breast tissue, is the basic approach in treatment. This process, on the other hand, is based on the removal of the gland tissue with a very meticulous and careful dissection, through an incision to be made in the form of a half moon at the end where the black of the chest meets the chest skin. If necessary, liposuction can be performed in addition to the gland edges. This process requires experience, attention and meticulousness. In this way, it is possible to reduce or minimize the complications that may occur. With this approach, it is possible to achieve a very high patient satisfaction.
- After Gynecomastia Surgery (Male Breast Reduction Surgery)…
After you wake up completely from the operation, you will be taken to your room. Here you will be followed up and the necessary antibiotics and painkillers will be administered. A few hours after the surgery, you can take watery food beforehand. You can then get out of bed for short periods. Depending on the situation, you can be discharged from the hospital the same day or the next day. After a few days, you can move more freely. You should avoid exerting great strength, bending over and lifting heavy loads, as these activities may increase swelling in the surgical area. Your dressing can be renewed on the day after the surgery or on the second day. You will be asked to wear the corset, which is in the form of generation, for 3 weeks. This corset is used to reduce edema and swelling after surgery and to help the breast take its new shape. It is quickly used without being obvious under clothing. You may be allowed to take a shower 3 days after the operation. Since special dissolving sutures are often used in breast reduction surgery, there is no need to take stitches.
- When will I be able to return to my normal activities?
Smoothing after gynecomastia surgery is rapid. Depending on the work you do, you can return to work within 3-5 days. After this period, many of the usual activities can be started gradually. It is recommended that you stay away from activities that work the chest muscles, such as weight lifting, for 3 weeks. During this period, there may be some mild pain and limitation of movement, but these are normal. These can be prevented with easy pain relievers.
- Are the results of Gynecomastia Surgery (Male Breast Reduction Surgery) permanent?
The results of gynecomastia surgery are permanent. Gynecomastia surgery makes a dramatic change in the patient’s appearance and increases self-confidence. It is one of the surgeries with the highest patient satisfaction among aesthetic plastic surgery applications. These patients get rid of the need to wear wide t-shirts due to the size of their breasts and the stress of swimming in the pool. They quickly regain the self-confidence they lost. As long as you maintain your weight, the results are permanent.
- Continuing your conversations with your plastic surgeon…
Your doctor will recommend that you come to the inspections regularly in order to make periodic inspections during and after the beautification period and to see the long-term results of the surgery. These meetings are valuable for the prevention and analysis of the problems you may encounter during and after the recovery period. If you have questions, concerns or need more information in the postoperative period, do not hesitate to make an appointment with your doctor. Your doctor will support and assist you at every step.