PLASTIC SURGERY

Gynecomastia

What Is Gynecomastia?

Gynecomastia is the growth condition seen in the breasts of men with the shortest definition. Estrogen in men – testosterone hormones are found in conditions where less-than-normal. These abnormal sizes of breast tissue can be treated with gynecomastia surgery. The only factor that can ensure the growth of breast tissue is a decrease in the hormone testosterone or a disorder that blocks this hormone. Although this growth in the male breast often does not end with consequences such as pain, it can also cause pain from time to time. However, creating a distinctive breast image in clothes can also lead to simple or progressive psychological problems, such as an inability to go into the sea. Genetic factors, environmental variables, regular drug use, smoking – alcohol – drug use can trigger breast growth. At the same time, some dietary supplements can also cause a testosterone – estrogen imbalance. As a result of the unbalanced hormonal distribution that occurs during adolescence, the breasts grow, but become old again before the puberty process ends. Some men over the age of 50 are also more likely to have gynecomastia. Some drugs, especially related to prostate problems, can cause gynecomastia.

How Is Gynecomastia Performed?

As mentioned above, living a life away from the factors that will cause gynecomastia is the first step of gynecomastia treatment. Symptoms of gynecomastia can be alleviated by staying away from all criteria that are assumed to be factors such as smoking, alcohol, and drug use. But often the only effective and permanent method is surgery. In gynecomastia surgery, which is the specialty of plastic surgery, the patient is numbed by general anesthesia. The operation is one of the short-term surgical interventions. First, the type of gynecomastia should be determined. According to the type, the operation step can be switched. In the surgical stage of glandular type gynecomastia, the breast tissue is quite rigid. It is based on removing this tissue without damaging the mammary glands. In mixed-type gynecomastia, there are both hard tissues and excess adipose tissue. During this surgical intervention, hard tissue is removed, and excess fat is removed by liposuction. In oily type gynecomastia, the adipose tissue is both excessive and heavy. Liposuction step will be sufficient to eliminate this. One of the related techniques of liposuction can be applied. Laser liposuction, vaser liposuction are the most commonly applied methods. In addition, in these methods of fat removal, the patient’s recovery time is also quite short and serves a comfortable recovery phase. One of the problems with gynecomastia is both excess fat and excess skin. Liposuction alone is not enough to address such problems. Excess skin should also be removed. It takes at least 45 to 90 minutes, regardless of the scope and type of operation. If liposuction is to be applied only, local anesthesia will be sufficient for the patient. But general anesthesia is preferred if procedures such as breast tissue removal and skin removal are also performed together. The surgical scar left after the operation, which is carried out with small surgical cuts, is quite light.

Gynecomastia Risks

Bleeding, edema, infection, anesthesia risks are complications that may occur due to surgery. In gynecomastia surgery, infections such as asymmetry, blood accumulation under the skin, hematoma, fluid accumulation under the skin, seroma can occur. But on the contrary, the risk of tissue loss and infection is quite small. After surgery, antibiotics are used to minimize possible risks. After surgery, a special gynecomastia corset is used. The pain is not very intense, usually in three to seven days people return to daily life, but heavy activities such as sports are initiated after a month. If the liposuction method is preferred, there will be no open wounds, but if the classic open technique was preferred, there will be fine line marks on the heads of the nipples. In gynecomastia operations performed using Liposuction, only very thin spots may remain at the points where the cannula holes enter, but in open operations, it is possible that there will be an incision mark here, since there is a small incision made from the nipple. Gynecomastia surgery does not have any negative effect on breast cancer. In fact, usually because gland tissue is reduced, the tissue in which breast cancer will occur is reduced. This, in turn, reduces the likelihood of breast cancer due to the small amount of tissue that will form breast cancer.

Recovery Process After Surgery

The recovery process of the patient with gynecomastia operation is an average of one week. During this week, edema and swelling descend, bruises decrease. The process after gynecomastia surgery differs according to the technique of the operation.

If vaser or laser liposuction techniques are preferred in treatment, the healing process also passes quite comfortably. After Vaser and laser liposuction applications in the formation of gynecomastia due to adipose tissue, a person gets effective results at the end of about 3 weeks and can easily perform many activities. In cases requiring surgical intervention, local anesthesia may also be preferred in some cases, although the operation is usually performed under general anesthesia.

Patient can be discharged within the same day after the operation. Depending on general anesthesia, the person may need to be monitored overnight, but this condition is not very common.