Gynecomastia

Gynecomastia Surgery is the name of the intervention to reduce fat tissue and the volume of breasts in men with uncontrolled breast enlargement due to various reasons.

Similar to the breast tissue in women, the breast tissue in men is composed of fat and mammary glands. Gynecomastia in men occurs due to an increase in the mammary glands and breast fat tissue. Today, one in five men experience this problem. Gynecomastia can bring along many psychological problems and it is unfortunately not possible to correct it with medication. Although some medications have been reported to be used for treatment because they are known to alter the hormone levels, no positive results have been obtained.

Can Isler, MD.
Aesthetic and Plastic Surgery
General Surgery

About Operation

Expected duration of stay in Istanbul: 4 days
Anesthesia:General anesthesia
Expected duration of operation: 30-45 min
Expected duration of stay in the hospital: 6 hours
Pain: Occasionally, simple analgesics are needed.
Swelling and bruises: Usually, little
Dressing: Day 3
Stitches: melting stitch is used
Expected return to normal life: After 2-3 days
Sports: Light exercises after 2 weeks

Before the surgery…

At least 15 days before the operation, patients should discontinue the use of drugs such as vitamin E, blood thinners, and ibrufen. The patient should inform the physician about the other medications he or she receives.
Patients should avoid smoking and using any tobacco products before the operation. The habit of smoking adversely affects blood circulation, thus reducing the success rate of surgery. Wound healing is delayed and problems associated with anesthesia may occur.
Patients should not use alcohol; they should not spray apply any cosmetic products on their hair, and they should not wear any makeup.

The operation

Liposuction is performed for the treatment of male breast enlargement due to excess fat tissue. Classical or laser liposuction may be preferably selected for the treatment. Laser liposuction is more advantageous than the conventional method. Fat cells in the breast tissue are more easily broken down and removed by the laser liposuction method. Furthermore, problems such as edema and bruising occur to a less extent after the intervention. During laser liposuction, both the removal of fat cells and the lifting of the breast skin is accomplished. Patients experience a more comfortable recovery period compared to the classical liposuction method.

Frequently Asked Questions

Is surgery necessary for the treatment of gynecomastia?

If there is stage 1 gynecomastia, liposuction can be performed. Surgery is the only solution for other stages of gynecomastia.

What Causes Gynecomastia?

The most common worldwide cause of gynecomastia is the disturbed estrogen and testosterone balance. Gynecomastia may also occur in men due to lack of physical activity, unbalanced diet, and side effects of certain medications.

Can Gynecomastia Be Treated With Medical Treatment?

Surgical intervention is accepted as the gold standard in the treatment of gynecomastia in men. The likelihood of success is very limited with the use of anti-estrogen drugs. However, medical treatment for gynecomastia is not recommended because the side effects of medication are very risky.

Does Breast Augmentation Aesthetics Cause Saggy Breasts Over Time?

The prostheses used in breast augmentation aesthetics are extremely light in weight. No sagging effects occur due to placed silicone prostheses. However, sagging of the breast may develop with natural skin ageing processes.

Is there an age limit for gynecomastia surgery?

Surgical intervention can be performed at any age starting from 17 years of age. Surgery can be performed at earlier ages, too, as long as the puberty period ends.

How is gynecomastia diagnosed?

Blood and hormone tests are usually sufficient for making the diagnosis. If necessary, further examinations such as USG, MRI or CT can be performed.

Can Gynecomastia develop Again After The Surgery?

Gynecomastia does not occur again after the surgery. However, there is a potential risk when weight gain of approximately 20 kg occurs.

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