- What causes breast enlargement in men? (Is it deformity or disease? Is it a genetic condition? After which diseases do men experience breast enlargement? What is the effect of the drugs used? Are bodybuilding sports effective on breast growth? After how many centimeters of growth can it be said that men have breast enlargement?)
*** Breast enlargement in men, that is, gynecomastia, may be caused by the imbalance of estrogen and testosterone due to various reasons or the existing testosterone hormone not being detected by the body. Although I will list the possible reasons below, no cause can be found in 25% of patients with gynecomastia. Gynecomastia may be present at birth or may occur later.
Congenital gynecomastia may occur as a normal process in newborns, adolescence or old age. The cause of gynecomastia in babies is the estrogen hormone passed from the mother and will resolve spontaneously within a few weeks after birth. During puberty, 65% of boys experience an increase in estrogen-testosterone ratio, and this usually disappears by the end of adolescence. Therefore, the young person's gynecomastia also improves. In the elderly, testosterone turns into estrogen in the fat tissue in the body. And for this reason, gynecomastia is seen. Apart from the normal processes I have mentioned, gynecomastia can also be seen due to various genetic diseases. Although there is generally no risk of developing breast cancer later in these patients, the risk of breast cancer increases 60 times in the disease called Klinefelter Syndrome. The condition that can occur later and is defined as medically acquired gynecomastia is due to various hormonal or metabolic disorders, various tumors, psychological stress, various conditions. It may occur due to virus infections, some medications, alcohol, or without any medically defined idiopathic cause.
- Can breast enlargement in men be corrected? (At what stage should breast enlargement reach be considered a problem? What are the effects of the age factor on the treatment method? How to correct gynecomastia? Is liposuction used? What kind of techniques are used?)
* **This is a problem if breast enlargement bothers the person. If huh If our patient is still in adolescence and the hormone tests are normal, we should wait for this period to end. Gynecomastia may also resolve spontaneously at the end of adolescence. In addition, patients with acquired gynecomastia due to the medications used may resolve spontaneously within 2 years if they stop taking these medications. If our patient is over 18 years of age, surgery is the solution. Surgical techniques are as follows: 1. The breast tissue inside can be surgically removed by making a half-moon incision around the nipple. In very rare cases, which manifest themselves with both excess breast tissue and excessive sagging of the skin, ultrasonic liposuction is first performed and waited, and if sagging occurs in the skin, the sagging skin is surgically removed after 6-9 months. The reason why we wait to remove skin is that in some cases, after liposuction, the skin can compress and take shape on its own. In this way, we do not leave any extra scars on our patient. In addition, skin that is likely to sag can be tightened without surgery using methods such as Thermage. 2. Fat tissue and breast tissue melted by classical or ultrasonic liposuction are removed with vacuum. In this technique, thin cannulas are extended into the breast tissue through half-cm incisions made on the nipple and outer border of the breast for each breast, and the melted fat tissue is vacuumed. Especially the use of ultrasonic liposuction called vaser provides us with great convenience in melting the hardened breast tissue and allows us to get better aesthetic results from the surgery. The scars of liposuction incisions, which are already very thin and small, heal in 10 days. If the person has no problems with wound healing, the color of the scar, which is reddish at first, fades over time and will not be noticeable unless examined very carefully. 3. These two techniques can be used together. It is decided after the examination which technique will be used on which patient. After the surgery, the patient uses a bandage for at least 2-4 weeks.
- Is surgery the only solution for breast enlargement in men? Is surgery necessary? Losing weight, medicine, cream, etc. Is it useful to use regular exercise, do less sports or do regional sports?)
*** Gynecomastia in infancy usually disappears within a few weeks, and in adolescence it usually disappears within 2 years. It will correct itself on its own. Also, drugs Breast enlargement may occur within 2 years after discontinuation of the drug. However, if there is fibrosis that causes the breast tissue to become very hard in gynecomastia, the only solution is surgery.
- Can anyone have breast reduction surgery in men? (What are the conditions that will prevent surgery? Upper and lower Is there an age limit? Does the weight of the person who will undergo surgery affect the decision for surgery?)
*** Anyone over the age of 18 can have this surgery.
- Is preparation required before breast reduction surgery in men? (Are there smoking and alcohol use, eating, drinking, medications, vitamins, etc. that need to be taken before surgery? A diet is required before breast reduction surgery Is it?)
*** 10 days before breast reduction surgery, blood thinners such as aspirin, herbal tea and food supplements should be discontinued. Quitting smoking is not only necessary for gynecomastia surgeries but also allows us to get better results in all surgeries. However, it cannot be said that it should be discontinued.
- What kind of surgery is performed for breast reduction in men? (Is gynecomastia surgery a difficult surgery? What type of anesthesia is applied? What methods are used? How much? How long does it take?)
*** Although general anesthesia is generally preferred for gynecomastia, regional anesthesia can also be used for small breasts. Excess breast tissue can be removed by making a half-moon-shaped incision around the nipple, and with liposuction, the fat tissue inside is melted and removed without making an incision. Vaser is especially preferred for this job due to its ability to dissolve breast tissue. Sometimes these two techniques are used together. A standard surgery takes approximately 1-1.5 hours.
- Will there be scars after breast reduction surgery in men? (What kind of scars will remain in which area? Will the scars fade over time? How long does it take for the scars to disappear?)
*** In patients who only undergo ultrasonic or classical liposuction, two half-cm scars remain on each breast, one at the nipple and the other under the breast.< br /> In patients where a half-moon incision is made around the nipple, a scar remains in this area. However, this scar is on the nipple. It is not very noticeable because it is in the transition zone between the dark part and the light color of the breast skin. Both liposuction scars and the scar around the nipple are reddish at first, but if there is no problem with the person's wound healing mechanism, they fade over time and cannot be noticed unless looked at very carefully.
In very large and very saggy male breasts, these scars appear due to a different surgical technique chosen. In addition, there may be a scar extending vertically downwards from the nipple to the breast fold. However, this technique is avoided as much as possible. Because almost all male patients prefer their breasts to be slightly saggy but small rather than visible from the outside. Especially in this case, the patient should be discussed in detail and the patient should be given the right to have a say in the selection of the surgical technique.
- What is the process after breast reduction surgery in men? (Is a drain used? Pains) How many days will it take? How long will it be possible to drive a car or do sports? When will it be possible to return to daily life? When will the breasts take their full shape? Will there be undesirable consequences? Will there be bleeding, infection, etc.?)
- Are there risks of breast reduction surgery in men? (What are the general risks associated with the operation? Is there a possibility of permanent scarring? What kind of complications may occur after the surgery? What are the chances of problems such as bleeding, infection, etc.)
***After gynecomastia surgery, if an incision has been made on the nipple, a small drain is placed to remove any fluid that may accumulate inside. Additionally, after dressing, an elastic bandage is wrapped around the breast area or a band-shaped corset is applied to the breast area. This corset is used for at least 3-4 weeks. The edema, which is maximum in the first week, decreases over time and the visible edema almost disappears in about 4-5 weeks. There is no harm in driving after the first week. However, it is better to wait 4-6 weeks for active sports. It takes 6 months for the breasts to take their full shape. In fact, the healing process continues at a microscopic level, albeit minimally, for up to 1 year.
***After gynecomastia surgery, infection, bleeding, fluid or blood accumulation under the breast, which may occur after every surgery, Although there are complications such as mitosis and asymmetry, we almost never see them in practice, thanks to the precautions taken. If a C-shaped incision was made on the nipple during the surgery, with the opening facing downwards, there is usually not much scar left in this area. Even if it remains, it won't be noticeable unless you look very carefully. If the patient's scar heals by swelling, this is a condition related to the structure of the skin and is not a situation seen in every patient. If we encounter such a problem in the early stages, we choose to treat this area with various medications, creams and laser treatments. However, if the patient is unhappy with the asymmetry that develops after the surgery, we wait for the breasts to settle down before retouching them. We do not make any intervention before 1 year. Because these asymmetries are often caused by edema and improve over time.
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