Gynecomastia is the enlargement of male breasts. Most often, the reason is the weight gained during adolescence. In addition, it may occur due to various medications used or due to advancing age. It is usually bilateral. It can be symmetrical, it can be asymmetrical. When it is unilateral, it must be checked with ultrasound to investigate whether there is an underlying cause. But in ninety percent of the cases, the reason is the weight gained during adolescence. Plastic surgery specialist Op. Dr. Defne Erkara gave information about the gynecomastia surgery process.
Since there is an increase in estrogen hormone in adolescence, there is an increase in estrogen hormone in people who gain weight. Therefore, the mammary gland develops larger and the fat cell ratio around it increases. In such cases, no matter how much weight is lost, even if the body shape returns to normal, the appearance of large breasts continues because the mammary gland and the increase in fat cells there do not disappear. It is tried to be camouflaged a little by doing sports. In this case, it is not completely camouflaged. On the contrary, as the chest muscle develops, it may become more prominent as the chest muscle pushes the mammary gland forward. This is where we step in. We perform a surgical procedure to correct this.
Grades of gynecomastia
Gynecomastia is classified into 4 degrees depending on the size of the breast. The smallest size is called 1st degree, the largest is called 4th degree. There is no sagging of the skin in 1st and 2nd degree gynecomastia. The mammary gland and lubrication are small in size. There is no skin removal, we only remove the mammary gland and fat. 1st and 2nd degree gynecomastia surgery takes about 1-1.5 hours. There is no need to stay in hospital. We do not wear resistors.
3. and in grade 4, the mammary gland is very large. There is excessive lubrication. The skin is loose and sagging. Therefore, in addition to taking mammary gland and fat, it is also necessary to take it from the skin. Otherwise, the breast will not collect itself. It will look saggy. For grades 3 and 4, the surgery takes 2-2.5 hours. We recommend 1 night hospitalization. We definitely put a drain on, but we take it off the next day.
Preoperative process
During the first examination, the doctor checks whether the breast size is a sign of another disease. Gynecomastia is not due to a disease. Surgery is planned according to the patient's condition. Blood thinners, vitamins, smoking and herbal medicines are stopped 1 week before the surgery. It is beneficial to consume a protein-rich diet to support healing. If there is another disease or medication used, it is necessary to tell the doctor who will perform the surgery. After the necessary tests are performed on the morning of the surgery, if there are no problems, the person is taken into surgery.
Post-gynecomastia surgery process
There will not be much pain after the surgery, but you should use the prescribed medications regularly. Bleeding, hematoma or bruise are rare complications that may occur. These are easy to treat. You can shower on the 4th day. Corset use is required for 1 month. In this way, the tissues fuse together thoroughly. Heavy work and sports are not recommended during this 1-month period. Only short walks are possible. It is necessary to avoid movements that lift the arm and chest muscles too much. It is also beneficial to stay away from the pool, sea and sauna for 1 month. At the end of 1 month, we recommend hand massage to prevent tissue irregularities. If not possible, regular swimming can provide the same effect.
As a result; Gynecomastia is not a disease but an aesthetic problem that causes visual distress. If breasts that do not shrink despite exercise and diet bother the person, it is possible to reduce them with surgery. You can get detailed information by being examined by a plastic surgeon you trust.
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