Female Type Breast (Gynecomastia) in Men

In ancient Greek, it means gynec (feminine) and mastos (breast).

Gynecomastia is a benign female-type breast enlargement in men and is seen on average in 6 out of every 10 men at some point in life.

Gynecomastia is a benign female-type breast enlargement in men.

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It occurs as a result of circulating estrogen/androgen imbalance. Breast enlargement due solely to the accumulation of fat tissue is called pseudo-Gynecomastia.

Gynecomastia is physiologically and/or naturally encountered in newborns, caused by estrogen passing through the placenta at birth, and in puberty and older ages, when hormone transitions peak.

However, Gynecomastia may be observed in some types of cancer, especially testicular cancer, in hyperthyroid patients, in those who consume excessive alcohol, in liver-kidney patients, in those using hormone-containing drugs, in patients with ulcer medications and after frequently used medications such as digoxin, some antibiotics or diazem.

In order for gynecomastia to be treated surgically, it must persist for at least "6 months" after medical treatment. Shaping surgeries are performed to reduce the size of large breasts that do not shrink after medical treatment. These surgeries are very rarely performed with long surgical incisions.

Treatment; It is the removal of fatty tissue and hard fibrous tissues localized behind the nipple (liposuction). For this purpose, powered, mechanical (classic) or laser-assisted thin (1-2 mm. diameter) cutting cannulas are preferred and used. After the surgery, a tight corset with pressure is used for 2-3 weeks to prevent fluid accumulation under the skin.

The results obtained with this technique are interventions that patients find "quite" satisfactory from a biopsychosocial perspective. They are often applied before summer. A small scar that disappears in 4-6 months and a single stitch that will be removed after 10 days will reduce and shape the breasts and upper body. Hospital stay is 4-6 hours and there is no need for antibiotic use.

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