Gynecomastia Surgery

Gynecomastia Surgery

What is Gynecomastia?

Gynecomastia Surgery : Gynecomastia is a condition in men where the breast tissue grows abnormally. This disorder, usually caused by hormonal imbalances, often leads to aesthetic and psychological problems. Breast enlargement in men can occur during childhood, adolescence, or later in life. Gynecomastia can affect one or both breast tissues.
Although this condition is often perceived as a cosmetic problem, it may actually have underlying medical causes. Gynecomastia can lead to a loss of self-confidence, feelings of shame, and avoidance of social situations.

Types and Causes of Gynecomastia

Gynecomastia is typically divided into three main types: glandular gynecomastia, mixed type gynecomastia, and lipomastia. Each type is characterized by the growth and accumulation of different tissues.

Glandular Gynecomastia

In this type, the breast glands grow abnormally. Hormonal changes, especially imbalances between testosterone and estrogen, are the primary cause of glandular gynecomastia.

Mixed Type Gynecomastia

Both the breast glands and fatty tissue grow together. This type involves both glandular and fat tissue and typically requires surgical treatment.

Lipomastia

Lipomastia is characterized by the growth of only fatty tissue. Fat accumulation in the breast area can occur due to weight gain, and this condition is sometimes confused with gynecomastia.
The causes of gynecomastia include hormonal changes, certain medications (steroids, anti-androgens), alcohol and drug use, chronic illnesses, and genetic predisposition. Especially during adolescence, temporary gynecomastia can occur due to hormonal fluctuations in the body. This condition often resolves on its own within a few years.

What Are the Symptoms of Gynecomastia?

The most prominent symptom of gynecomastia is abnormal growth in the breast tissue. Additionally, sensitivity, pain, and sometimes a feeling of firmness may also be observed. The growth is usually symmetrical, but in some cases, one breast may be larger than the other. Other symptoms of gynecomastia include:

  • Sensitivity in the nipple area
  • Firmness or the formation of a mass
  • Swelling in both or one breast
  • Discomfort when wearing shirts or t-shirts

The Social and Psychological Effects of Gynecomastia

Gynecomastia is not only a physical discomfort but also has deep effects on men’s mental health. Especially for young people experiencing gynecomastia during adolescence, psychological issues such as loss of self-confidence, shame, depression, and anxiety may arise. Men with gynecomastia may avoid activities like taking off their shirts at the beach, going to the gym, or wearing tight clothes. This condition can lead to social isolation and a decrease in quality of life.

Treatment Methods for Gynecomastia

The treatment for gynecomastia varies depending on the underlying causes and the severity of the condition. Treatment options are generally divided into non-surgical methods and surgical intervention.

Non-Surgical Methods

In some cases, gynecomastia may resolve on its own. Especially in adolescents, as hormones balance, breast enlargement may decrease over time. Additionally, weight loss, regular exercise, and a healthy diet plan may be beneficial for lipomastia-type gynecomastia.
Hormone Treatment: If gynecomastia is caused by hormonal imbalances, hormone treatment may be considered. Medication: Medications that reduce estrogen levels can be used to treat gynecomastia. However, the effectiveness of medication is limited and surgical intervention may be necessary in advanced cases.

How is Gynecomastia Surgery Performed? (Surgical Treatment)

Gynecomastia surgery is one of the most effective methods for reducing breast enlargement in men. The surgery reduces both glandular and fatty tissue to provide a flatter, more masculine chest appearance. Gynecomastia surgery is performed using liposuction (fat removal) and excision (tissue removal) techniques.

Pre-Surgery Preparation

A thorough health screening should be performed before surgery. During this process, the patient’s general health is evaluated, medications and any chronic illnesses are taken into account. Additionally, smoking and alcohol use should be stopped at least two weeks before surgery, as these substances can negatively affect the healing process.

Surgical Phases

  • Anesthesia: The surgery is usually performed under general anesthesia, although local anesthesia may be preferred in some cases.
  • Incisions: Small incisions are made to access the breast tissue. These incisions are typically made around the areola, and the visibility of scars after surgery is kept to a minimum.
  • Fat Removal (Liposuction): If the gynecomastia is of the lipomastia type, excess fatty tissue is removed via liposuction. Liposuction is done using thin cannulas, and excess fat is suctioned out of the body.
  • Tissue Removal (Excision): In cases where the glandular tissue is enlarged, this tissue is removed. Excision is performed based on the size of the breast gland.
  • Closure: The incisions are closed, and the surgery area is bandaged.

Post-Surgery Recovery Process

The recovery process after gynecomastia surgery can vary from person to person but generally takes 2-4 weeks. Mild pain and swelling may occur in the first few days, but this is normal. Patients are usually advised to wear a special compression garment, as this garment speeds up the healing process and reduces swelling.
Key points to pay attention to after surgery include:

  • Rest: It is very important to rest for the first few days.
  • Pain Management: Painkiller medications prescribed by the doctor should be taken regularly.
  • Wound Care: Attention should be paid to the hygiene of the surgery area.
  • Physical Activity: Heavy physical activities should be avoided during the recovery period, and exercise should not be performed without the doctor’s approval.

Risks and Complications of Gynecomastia Surgery

Like any surgical intervention, gynecomastia surgery carries some risks. The most common complications include infection, bleeding, anesthesia reactions, and scarring. However, these risks are minimal when the surgery is performed by an experienced surgeon.

Advantages of Gynecomastia Surgery

Aesthetic Appearance: The surgery provides a flatter and more masculine chest appearance. Increased Self-Confidence: Men who feel ashamed of breast enlargement feel better about themselves after surgery. Permanent Results: Gynecomastia surgery usually provides permanent results. However, it is important for patients to maintain a healthy lifestyle after surgery.

Life After Gynecomastia Surgery

There are a few important points to consider after surgery. To ensure lasting and successful results, it is very important to follow the doctor’s instructions. Patients should avoid smoking and alcohol, and follow a healthy diet and exercise plan after surgery.

Gynecomastia Surgery Costs

Gynecomastia surgery prices can vary depending on the patient’s condition, the clinic where the surgery is performed, and the surgeon’s experience. Additionally, the complexity of the surgery (whether liposuction is required) and the techniques used also influence the costs. The surgeon will provide detailed information about the price during the pre-surgery consultation.

Is Gynecomastia Permanent?

Most cases of gynecomastia are not permanent, especially cases seen during adolescence that may resolve on their own. However, in cases caused by advanced age or hormonal imbalances, surgical treatment may be required.

Will There Be Scarring After Surgery?

Due to the small incisions made during the surgery, scars are typically not visible. The surgeon’s experience and the techniques used can also affect the likelihood of scarring.

How Long Does the Surgery Take?

Gynecomastia surgery typically takes 1-2 hours. However, the duration of the surgery may vary depending on the patient’s condition and the surgical techniques used.
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