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Gynecomastia

With the appearance of external appearance gaining importance in all areas of life in recent years, men as well as women need aesthetic touches. One of the most frequently preferred procedures is gynecomastia surgery, also known as breast reduction surgery in men or breast reduction surgery in men. Breast enlargement, which can cause aesthetic and psychological problems, can be treated in a short time with various surgical methods such as liposuction applications and gynecomastia.

What is gynecomastia (breast reduction surgery in men)?

The growth of breast tissue in men, hormonally or due to the food taken, is called “gynecomastia”. It usually occurs with an excess of estrogen. Therefore, first of all, endocrine examination is recommended. It is not a dangerous situation, but since the breast volume increases, it slightly increases the risk of breast cancer in men. On the other hand, this growth, which is quite common, is usually benign. However, this situation causes an aesthetically bad appearance in the pool, sea or when wearing tight clothes, while on the other hand, it can cause a serious self-confidence problem in men.

To whom is gynecomastia surgery (breast reduction surgery in men) applied?

First of all, correct diagnosis and determination of suitable patients are very important for the realization of this surgery. Physical examination alone may be sufficient in the diagnosis of this problem; However, in new cases, in case of breast pain or tenderness, liver, kidney and thyroid function tests, some blood tests for hormone levels, mammography or ultrasonographic examination are required.

With surgery, it is aimed to remove the overgrown breast tissue and to give the breast a normal appearance. After the examination and tests performed by the gynecomastia specialist, the method and technique of the surgery are determined according to the condition and stage of the gynecomastia.

Correction of gynecomastia is done surgically or by liposuction. In general, low and moderate sagging benefits from liposuction. Small incisions of about half a centimeter are made. The fat is removed with cannula or needle-like devices. However, if the tissue under the nipple is above a certain size or if there is severe sagging, surgery may be required. An incision of 1-1.5 cm is made under the breast. The breast tissue inside is taken from that incision. If the breast tissue is too large, the entire breast tissue can be removed by removing the skin around the nipple.

If there is a lot of fat tissue in the breast, liposuction is usually sufficient. In these operations, laser liposuction is more preferred because it leaves few scars and the recovery time is short. In the procedures performed with laser liposuction, after the fat removal, the skin base is heated with the laser to create a tightening effect on the skin.

In cases where breast tissue is in the foreground compared to adipose tissue, liposuciton alone is not sufficient. In such cases, in addition to liposuction, a small semi-circular incision is made from the nipple and the breast tissue is removed. In such mixed operations, the scar of the operation is very small.

In some cases of gynecomastia, the excess skin becomes very evident, and the breast sizes of these people can be almost as large as the female breast. In such cases, open surgery is required. As a result of the operation, as in breast reduction surgery in women, lollipop or inverted T-shaped scars may remain.

“Does gynecomastia surgery hurt?” is one of the frequently asked questions about this operation. Gynecomastia surgeries are performed under general anesthesia and the patient does not feel any pain or pain. After the operation, which takes an average of one hour, patients are discharged either on the same day or the next day. While a drain is not usually inserted in liposuction or operations performed with small incisions, it is inserted in open surgeries. Mild pains experienced after the surgery are eliminated with painkillers, and at the end of the fifth day, the patient is allowed to take a bath.

How is gynecomastia surgery (breast reduction surgery in men) performed?

The first step should be to contact your surgeon to schedule an initial consultation. During the consultation, your surgeon should explain everything you wonder about the forehead lift procedure in a way that leaves no questions or concerns. Your surgeon may recommend alternative treatments and additional surgical methods for your face in line with their observations. When the surgery is decided, detailed questions about your general health will be asked and laboratory tests will be requested. Aspirin, ibuprofen or other non-steroidal anti-inflammatory drugs, ginkobiloba and vitamin E should be discontinued before surgery. If you have regular medications, you should consult your doctor about them. If there is no information to the contrary, you should not eat or drink the night before the operation and after midnight. Shower should be taken and hair should be washed with shampoo. Make-up should not be worn. False eyelashes, contact lenses, jewelry and unnecessary accessories should be left at home.

What are the advantages of gynecomastia surgery (breast reduction surgery in men)?

With this procedure, the annoying breast appearance is also eliminated. More aesthetic chest lines appear and the lower chest muscles become prominent. Men who have lost self-confidence due to gynecomastia feel much better after this operation. This situation has positive reflections on their business and social lives.

Post-operative explanations

In order to keep the tissues in the necessary place during the healing process and to reduce the edema that will occur, a wrap is applied to the face and head. The day after the surgery, this dressing is replaced with an elastic bandage and the patient is asked to use it for a few days. Then the patient is asked to use it at night for one more week while lying down. Initially, edema may be expected at and around the incision site. This edema usually subsides after the first ten days. It will be useful to use cold compresses and keep the head up for a few days after the operation. It is recommended to contact your doctor immediately in case of redness, pus, pain that does not appear normal. Wires and sutures are usually removed in 2-7 days. Patients usually feel well enough to resume their normal activities around ten days. It is necessary to avoid strenuous activities for up to 3 weeks.

SIKÇA SORULAN SORULAR

A female-pattern breast enlargement in men may be due to weight gain. However, even if weight is lost, it may not be possible to get rid of this appearance. In this case, the person should consult a doctor, and a definitive diagnosis of gynecomastia should be made with various examinations and tests.

Gynecomastia in adolescence is usually temporary, and about 90 percent of patients recover spontaneously within three years. In these conditions, regular follow-up may be sufficient. In adulthood, if there is an underlying cause, it should be corrected. If there is no reason or if the patient’s condition does not improve despite the existing problem is resolved, surgical treatment is planned.

All men with excessive sagging or very large breast tissue can be nominated.

It is a criterion for nipple drooping to go below a certain size. Reaching 200-300 cc of breast tissue, which should be between 50-100 cc in volume, is a sufficient criterion for gynecomastia aesthetics.

There is a legal age limit of 18. There is no upper age limit.

If gynecomastia is not advanced, it can be beneficial with sports or diet. For this reason, patients are primarily directed to exercise and diet. It is recommended that patients avoid food supplements and red fruits that may dilute the blood before surgery. Smoking is a factor that impairs wound healing. Quitting smoking 1 week before the surgery and not smoking for up to 1 week after the surgery will increase the success.

Although no serious pain is felt, there may be mild pain if surgery is performed. If liposuction is to be performed, pain is not felt since the area is already filled with painkillers.

After surgery, the patient is discharged on the same day or the day after. In most patients, the healing process does not affect the quality of life and does not experience pain. Depending on the size of the gynecomastia, the patient can return to his normal life after a short time. Gynecomastia is a disorder that requires good nutrition planning. For this reason, men should avoid gaining excess weight before and after the gynecomastia application, and if necessary, they should maintain their ideal weight under the control of a nutritionist and dietitian.

After the gynecomastia operation, patients should wear a corset, also known as a gynecomastia corset, for 2-3 weeks. The final result is obtained between 6-12 months. After the operation, as long as there is no serious weight change, the result of the operation is permanent, and there is no loss of sensation in the nipple.

In the first week, rest as much as possible and upper body movements should be minimized. Postponing weight lifting, strenuous work, and power-requiring exercises, walking to increase circulation, and avoiding driving as much as possible should be avoided. After the first month, it is possible to do some heavy activities and exercises.

Recurrence of gynecomastia is not expected after treatment; however, if patients gain weight, adipose tissue may form. Therefore, weight control is important.

This procedure is ultimately a surgical operation. There may be risks such as bleeding and bruising, albeit minor. If too much breast tissue is taken, there may be collapses under the nipple. For this reason, it is important that the operation is performed by specialist doctors in fully equipped and reliable centers.

Surgical surgery is a safe operation if done properly and not under the muscle. When you go below the muscle, there is a low chance of damaging the pectoral muscle, rib cage, bones or lungs. For this reason, it is important that it is done by experts in equipped centers.

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