What is gynecomastia?

Breast tissue is a specialized gland that is extremely sensitive to hormonal stimuli (most importantly estrogen), whose function and dimensions are determined by hormonal stimuli. The occurrence of abnormal breast growth in men and women at different stages of life causes different problems.

How Does Male Breast Growth Happen?

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 intense estrogen through breast milk, and babies therefore have prominent breasts. This effect disappears in babies who stop breastfeeding. The male is exposed to high estrogen levels during puberty for the second time. 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?

Especially after the hormonal changes in adolescence, the permanent breast size in later 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 (false gynecomastia) occurs as an abnormal fat accumulation (lipodystrophy) as a result of excessive lubrication of the breasts in men.
3- Mixed (Mixed) Type Gynecomastia is a 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. However, the exact diagnosis is made by ultrasonography. Lipomatous and mixed types of gynecomastia can usually only be treated with liposuction. In glandular type, in order to completely clean the breast tissue, it is necessary to enter through a half-moon incision made from the nipple and remove the excess 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 approximately 1 hour, and the patient is discharged on the same day or 1 day later. It is recommended that the patient use a special bandage for 4 weeks after the surgery.

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