breast enlargement in men gynecomastia is called. 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. .
IS GYNECOMASTIA TREATMENT JUST SURGERY?
If there is no adolescent gynecomastia or an underlying cause, unfortunately, the treatment is surgery. Gynecomastia seen in adolescence will regress spontaneously at a rate of 95% up to 4 years. Therefore, it is the best approach to wait to avoid unnecessary surgery. If there is an underlying cause of gynecomastia, an intervention should be made first. After this reason is eliminated, the breast tissue can return to its normal state, but after waiting for a certain time, the treatment option is surgery if there is little or no recovery.
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. Firstly liposuction It 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.