What is gynecomastia?
Gynecomastia is defined as benign, excessive breast development in men, or more precisely, breast development that goes beyond the male form. It is derived from the combination of the Greek words gynec (feminine) and mastos (breast).
Causes
The frequency of gynecomastia increases in three periods of life. The first is the neonatal period. During this period, gynecomastia is observed in 70 percent of newborn boys due to the effect of the estrogen hormone passed from the mother. But then it regresses completely. The second is adolescence, which is the period when gynecomastia is most common. During this period, gynecomastia occurs due to changes in the estrogen/testosterone balance in the body. Gynecomastia is observed in 40-60 percent of men in this age group. Most of the gynecomastia cases observed during this period regress spontaneously. In cases that do not regress, what needs to be done is to wait for the end of adolescence (mostly 18 years of age) and if there is no regression within two years following the end, surgical treatment is recommended to the patient. The third period is the old age period, and gynecomastia is observed in 70 percent of men over the age of 50. Gynecomastia observed outside these three periods generally causes unhealthy eating habits, sedentary city life brought about by industrialization, and the resulting lack of movement and physical activity, causing disorders in the balance of estrogen and testosterone, resulting in the growth of breast tissue.
Diagnosis and treatment
Although gynecomastia is not a harmful condition for health, it causes distress and embarrassment in the person because this area does not have the opportunity to be hidden with any clothes such as underwear or bra, as in women. While people state that they are disturbed by the growth and swelling in their breasts; Sometimes growth may be accompanied by tenderness and pain. Gynecomastia that has existed for a long time does not regress on its own. In a person presenting with gynecomastia, the presence of a condition that causes gynecomastia is first investigated. Blood and hormone tests are performed. If deemed necessary, further examinations such as USG, MRI or CT are performed. If there is no underlying cause as a result of the examinations, surgical treatment is recommended. Medical treatment is rarely required in these patients.
In surgical treatment, the growing lesion is Excess fat tissue in the breast tissue is removed by liposuction method. In liposuction, no incision is made on the skin. Small holes are opened in the areas where the liposuction cannulas will be inserted, and each hole is closed with a single stitch at the end of the surgery. Men have a small-sized mammary gland located under the nipple. In patients with breast enlargement, liposuction may not produce the desired reduction effect. In this case, the breast gland is removed through a small incision made at the junction of the dark part of the breast and the skin. In patients whose breast skin has sagged too much and the size of the breast has grown too large, excess skin may need to be removed as liposuction cannot remove the excess skin. The important thing here is to ensure normal male body contours and chest contours as much as possible without leaving any scars.
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