The breast tissue is a specialized gland that is extremely sensitive to hormonal stimuli (the most valuable being estrogen), whose function and dimensions are determined by hormonal stimuli. The occurrence of unusual breast enlargement in men and women at different stages of life causes different issues.
How Does Breast Enlargement Happen in Men?
A man is exposed to estrogen dominance at 3 different stages throughout his life. The first of these is the early infancy stage, and the main source of estrogen is breast milk. A suckling baby is exposed to heavy estrogen through breast milk, and babies obviously have breasts for this reason. This effect disappears in babies who quit breast milk. A man is exposed to high estrogen levels for the second time during puberty. The main source of estrogen at this stage is the adrenal glands. The simultaneous increase in testosterone triggers sexual changes in the body. The third stage is the aging stage, and with the increase in body fat, estrogen production in the adipose tissue is triggered and the breasts grow in old age.
What is gynecomastia?
The fact that the breast size, which occurs after the hormonal changes especially in the puberty period, becomes permanent in the following times, is called ‘gynecomastia’, which means female type breast growth in men.
What are the Types of Gynecomastia?
Structurally, 3 types of gynecomastia can be mentioned;
1- Glandular Gynecomastia (true gynecomastia) is the permanent development of breast tissue that can be functional in men, just like female breast tissue.
2- Lipomatous gynecomastia (pseudo-gynecomastia) occurs as an unusual fat accumulation (lipodystrophy) as a result of excessive lubrication of the breasts in men.
3- Mixed (Mixed) Type Gynecomastia is in the form of permanent breast enlargement that includes both breast tissue and adipose tissue.
How Is Gynecomastia Treated?
The type of gynecomastia can be determined during palpation. But the full diagnosis is made by ultrasonography. Lipomatous and mixed types of gynecomastia can usually be treated only with the liposuction process. In glandular type, it is necessary to enter through a half-moon incision made from the chest and remove excess tissue in order to completely clean the breast tissue.
How is Gynecomastia Surgery and After?
Gynecomastia surgery performed with either liposuction or surgical excision is performed under general anesthesia. The operation time is an average of 1 hour, and the patient is discharged one day or one day later. It is recommended that the patient use a special bandage for 4 weeks after the surgery.