Gynecomastia

What is Gynecomastia?

Many different biochemical and physiological events take place in the body in order to maintain human health and fulfill various functions in the body. The basic condition for maintaining the health of both men and women is to maintain the balance between certain hormone levels in the body. If there are disruptions or disturbances in hormone balance due to various reasons, there is a risk of facing various health problems such as gynecomastia.

Gynecomastia, which can develop due to many different reasons, can be defined as a condition characterized by the formation of female-type growth in male breast tissue. Although healthy people have both male and female breast tissue, in some men, the cells and tissues in the breast tissue of women, which produce and transport milk secretion, may be more developed than male breast tissue.

Some men may develop female breast tissue due to different health problems. Due to the proliferation of the glandular component in the male breast, one or both breasts may enlarge, i.e. gynecomastia. Breast enlargement caused by an increase in adipose tissue in the chest wall due to weight gain is different from the volume increase that occurs as a result of the development of various glands in the breast tissue. Although breast enlargement caused by the increase in adipose tissue in the breast tissue improves with weight loss, medical treatment is needed in case of gynecomastia.

Who Is Suitable for Gynecomastia?

Gynecomastia

• People whose social life is negatively affected due to breast enlargement
• It can be applied to people who experience loss of self-confidence and embarrassment due to their appearance.

Gynecomastia can be seen in newborn, adolescence and old age. It is possible that cases of gynecomastia during adolescence may be temporary. Therefore, it is recommended that adolescent patients be followed up for a while before undergoing a surgical procedure. If the problem does not resolve spontaneously within 2 years, surgical procedure may be considered.

Gynecomastia Surgery Age Limitation

Gynecomastia surgery can be applied to people over the age of 18 and there is no upper age limit for surgery. However, this should not be interpreted as gynecomastia surgery can be applied to anyone over the age of 18 with gynecomastia. The decision for surgery is made after each patient is evaluated individually.
In patients with gynecomastia during adolescence, Nydick classification is used to evaluate the course of gynecomastia and its response to treatment. The main criterion for determining the type of gynecomastia is the size of the glandular tissue disc under the areola.

In cases with a disc diameter of less than 4 cm, the patient is kept under observation and the gynecomastia problem is expected to resolve spontaneously. If the disc diameter is between 4 and 6 cm, medical treatment may be considered, and if it is larger than 6 cm, surgical procedure may be considered.

What are the Types of Gynecomastia Aesthetics?

It is possible to apply different procedures within the scope of gynecomastia treatment. Which treatment will be applied is determined by the doctor after patient-specific evaluations. It is evaluated whether gynecomastia is caused by a hormonal disorder. However, the most effective and definitive method that can be applied in the treatment of gynecomastia problem is gynecomastia surgery.
Depending on the technique to be used in gynecomastia surgery, local or general anesthesia may be preferred. When determining the method of treatment, the amount of growth in the patient’s breast tissue and excess skin should be evaluated.

Glandular type gynecomastia cases with excess hard breast tissue are treated with gynecomastia surgery. In cases of mixed type gynecomastia, liposuction method and gynecomastia surgery can be combined. In cases of gynecomastia with excess fat tissue, liposuction treatment is used.

Operation Process

Before deciding on gynecomastia surgery, the patient undergoes a physical examination. In new cases or if breast pain or tenderness accompanies gynecomastia, in addition to physical examination, kidney, liver and thyroid function tests and blood tests to determine hormone levels may be used. Mammography or ultrasonographic examination may also be used.

The purpose of gynecomastia surgery is to remove the overgrown breast tissue and give the breast a normal appearance. After the examination and examinations, the technique to be applied is determined according to the condition and stage of gynecomastia.

The correction of gynecomastia cases is done surgically or by liposuction procedure. Liposuction is usually used in mild and moderate cases. In this context, fat is removed with cannulas or similar devices after making incisions of about half a centimeter. If the diameter of the disc under the nipple is above a certain measurement or if there is severe sagging, a surgical procedure may be necessary. In this case, an incision of around 1.5 cm is made under the breast and the breast tissue is removed. In cases where the breast tissue is very large, it may be necessary to remove the skin around the nipple and remove the entire breast tissue.

Liposuction is usually sufficient when the fat tissue in the breast is excessive. When breast tissue is in the foreground compared to fat tissue, liposuction alone is not sufficient. In such cases, in addition to liposuction, a semicircular incision is made in the nipple and the breast tissue is removed.

In cases where excess skin and breast size are too large, surgery can be performed using inverted T or lollipop incision techniques, as in breast reduction surgery.

Recovery Process

In the early period after gynecomastia surgery, tenderness, pain, edema and bruising in the application area is considered a normal situation. The cause of such side effects is the surgical procedure. Such side effects disappear with the healing process.

It is recommended that patients do not shower for the first 3 days following gynecomastia surgery and sleep on their backs for at least 1 week. In addition, a gynecomastia corset should be used regularly for the period specified by the doctor. Again, patients should avoid heavy lifting for 3 weeks following gynecomastia surgery. During the first 6 weeks, heavy sports and activities that may cause the risk of being hit in the chest area should be avoided. In order to reduce the risk of edema formation, patients should avoid baths, saunas and solarium for the period specified by the doctor.

What are the Risks?

As with all surgical procedures, some risks may develop in gynecomastia surgery. These risks include; anesthesia-related risks, blood clot formation, distortion of the chest contour and shape, bleeding, development of breast asymmetry, temporary or permanent sensory changes in the nipple, deep vein thrombosis, fat necrosis, serum, cardiac and pulmonary complications, permanent pain, infection, poor wound healing, temporary or permanent damage to deeper structures such as nerves, blood vessels, muscles and lungs.

Gynecomastia Prices

Gynecomastia prices are determined depending on factors such as the size of the breast tissue, the type of gynecomastia, the type of anesthesia to be applied, the technique, the expertise of the surgeon and the price policy of the clinic.

Is Gynecomastia Surgery Risky?

Gynecomastia surgery is a safe surgical procedure as long as it is performed by specialist and experienced doctors, using the right techniques and in a sterile operating room environment. However, as with all surgical procedures, some risks may occur in gynecomastia surgery. The expertise of the doctor, patient-specific planning of the surgery and strict adherence to the doctor’s recommendations after surgery can minimize possible risks.

What Causes Gynecomastia?

Gynecomastia can usually develop due to hormonal imbalance. In addition to hormonal imbalances, gynecomastia may occur due to various medications used, excessive alcohol consumption, genetic factors, the use of herbal products and some other factors.