Although men also have breast tissue, breast image is associated with women in all societies. The appearance of a female-type breast in men is called gynecomastia. It is a combination of the Greek words gyne (woman) and mastos (breast). Hormonal disorders can also develop physiologically without drugs, some syndromic diseases or any underlying disease. This disease, which seems very common today, is actually hidden by many men due to embarrassment and social fears. Contrary to the psychological burden caused by fears and embarrassment, gynecomastia surgery is a very comfortable, fast and satisfying procedure.
Appropriate Patient Profile
Gynecomastia surgery can be easily performed in all men who develop female type breast tissue for various reasons. However, except in rare cases, it is appropriate to wait for the completion of development in men under 18 years of age. The regression feature of gynecomastia that develops during adolescence should be kept in mind.
The patient should first be evaluated by an Endocrinologist. The possibility of the underlying problem being a hormonal disorder that can be corrected with drug therapy should be investigated. For those who are not in this patient group, the treatment method is surgery. During an appropriate disease history and physical examination by the plastic surgeon, criteria such as breast size, length, skin quality, gynecomastia degree, etc. that will determine the technique of the operation are evaluated. Your surgeon will tell you which technique is suitable for you among the techniques that can be used for gynecomastia surgery. Conditions that may pose an obstacle to the operation are inspected by the anesthesiologist, and necessary blood tests are performed. In case of chronic diseases that may affect the surgery, additional examinations or consultations may be requested. If any blood thinners are used, they should be discontinued at least 1 week in advance. Smoking may impair the wound healing process in some patients. There is no need to discontinue drugs used for other chronic diseases.
Gynecomastia surgery is performed in a hospital environment and usually under general anesthesia. The average duration of the operation is 1 hour. The procedure performed in the majority of patients is liposuction. For larger breasts, the VAZER liposuction technique is used. There is no scarring problem in all these techniques. Rarely, liposuction is ineffective in cases with excessively large skin and excess skin. Therefore, in the surgical technique to be chosen, a vertical scar will remain around and below the nipple.
After the operation, food is eaten at the 4th hour and the patient gets up from the bed and starts walking. The patient is discharged on the same day. Pain is less and painkillers to be used provide adequate help. The patient can be washed after 1-2 days. Some edema and swelling in the breasts will pass within 3 weeks. The patient can return to his daily life within the same week. A corset covering the chest is applied for the first 2-3 weeks after the surgery. Light exercises can be done easily after the operation. The final shape of the breast is at the end of the 3rd month.
Of course, every surgical procedure has its own complications. Although these are rare, they should be explained to the patient by the physician for the purpose of informing the patient. There are alternative solution options for all of the early and late complications that may develop. Temporary problems; loss of sensation, tenderness, pain, edema and bruisesEarly period problems; bleeding, infection, wound healing problems, long-term problems; asymmetry, insufficient reduction and aesthetic problems.
Gynecomastia and Persistence
There may be some growth with excessive weight gain. The results of this surgery are permanent and very pleasing.