Gynecomastia Surgery

Breast enlargement in men is called gynecomastia. It can be in one or both breasts.

WHAT IS THE CAUSE OF GYNECOMASTIA?

90-95% of the time there is no cause. Gynecomastia is most common in adolescence. There is no structural difference between female breast tissue and male breast tissue. Both have fat + mammary gland tissue (gland). The difference between men and women is the hormones. Female hormones have an enlarging effect on breast tissue. Male hormones suppress the effects of estrogen on breast tissue. On the basis of gynecomastia that occurs during adolescence, there are imbalances in the suppressive effect of these hormones on breast tissue. Decreases in the level of testosterone, the male hormone, testicular tumors, adrenal gland tumors, conditions that cause an increase in estrogen levels, obesity, kidney failure, hemodialysis, thyroid hormone imbalance, liver tumors, alcohol, anabolic steroids used in bodybuilding, drug and substance use are the causes of gynecomastia. .

HOW IS GYNECOMASTIA SURGERY PERFORMED?

Gynecomastia surgery can be performed under local anesthesia or general anesthesia. The aim is to reduce the breasts to an image compatible with the body. There are 3 alternatives for this reduction process. The first is liposuction, the second is tissue removal, and the third is the simultaneous application of both. Which of these three methods will be applied depends on the breast size of the patient and the characteristics of the breast tissue.

Breast tissue is increased in gynecomastia. However, the fat component of this breast tissue, the mammary gland component (gland) or both may be increased. Fat tissues can be easily removed with liposuction, but gland tissues may not be removed with the same ease. First of all, liposuction is applied, but if there is gland tissue that cannot be removed despite a good liposuction, it must be surgically removed. For surgical removal, a semicircular incision is made on the dark colored part of the nipple and the gland tissues are removed.

Depending on the increase in the volume of the breast tissue, there is an increase in the volume of the skin. This increase does not pose a problem in low-to-moderate gynecomastia, no skin-related procedure is performed in the surgery. After the surgery, the skin adapts to the new volume under it by shrinking. However, in advanced gynecomastia (at the size of an adult female breast), it is necessary to intervene on the skin. Because after the surgery, the skin cannot adapt to the new volume under it by shrinking. If the excess part of the skin is not removed, sagging occurs.

AFTER GYNECOMASTIA SURGERY, IS THERE A TRACE?

Technically, a scar remains after every surgery. Whoever says it won’t stay means he’s lying. For liposuction application, 1-2 2-3 mm incisions are made on both breasts. The scars of these incisions become obscure after 3 months. In cases where gland tissue removal from the breast is required, a semicircular incision is made in the lower part of the nipple. This scar becomes vague after 3 months. Since the skin needs to be removed in advanced gynecomastia, a scar remains on the breast, which varies according to the technique performed. This trace decreases over time, but it is not so much that we can say uncertain.

IS THERE AN AGE LIMIT FOR GYNECOMASTIA SURGERY?

Any male who is disturbed by his appearance and who has no obstacles for surgery, who has completed puberty, can undergo surgery. It would not be correct to say a clear age, as the onset and end of puberty will differ from person to person.

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