Gynecomastia is defined as female-type breasts seen in men. Gynecomastia, which can be seen due to hormonal changes during adolescence, can resolve spontaneously in most patients. If there is an underlying hormonal disorder, treatment is given by pediatric endocrinologists. If there is no hormonal disorder and there is no other underlying factor, surgery may be considered after waiting 6-12 months.
Gynecomastia may also occur due to testicular diseases, thyroid diseases, lung and liver disorders. It should be kept in mind that hormone-containing drugs used for muscle building in young adults may also cause gynecomastia.
Another cause of gynecomastia is weight gain. This condition can be described as pseudo-gynecomastia because it is caused by fat accumulation. It is the reason for application of most adult patients.
Although rare, breast cancer should be kept in mind in cases of unilateral gynecomastia or breast enlargement.
Surgical treatment may be considered in patients who do not have hormonal disorders, do not develop due to other organ disorders, and have breast cancer.
There will be no need for open surgery in bilateral gynecomastia patients who do not have excess skin and whose breast tissue can be removed by liposuction.
Questions about gynecomastia surgery
Operation time varies between 1-2 hours.
Although liposuction is often the first choice, breast tissue may need to be removed with open surgery in some patients.
Right and left symmetry after surgery. However, if you look very carefully, there may be differences.
If liposuction has been performed, a drain cannot be used, but if it has been performed with open surgery, the drain can be used and kept for 1-3 days.
For patients with open surgical skin excess or liposuction. It is preferred in patients whose breast tissue cannot be completely removed. If there is such a possibility, it is indicated before the surgery.
Hospitalization is not often required after the surgery. 1-3 days of rest is sufficient. The corset worn after the procedure should be used for 4-6 weeks. You can return to daily life immediately. Heavy sports can be started after 1 month.
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