gynecomastia

It is the excessive development of MALE BREAST. It is a kind of "feminine" breast appearance.

It is seen in the newborn period, which is called non-pathological physiological, in adolescence and old age. Physiological GYNECOMASTIA occurs in 60% of newborns due to estrogen passing from mother to baby. 64% of men experience this condition during adolescence.It is seen at a rate of 30% in old age.

If there is no other symptom or diagnosis, there is no need to look for a cause.

How long it took for the breast to grow, whether there was pain-sensitivity, the use of a certain medication, weight gain or loss, and whether it was symmetrical should be asked or checked during the examination. strong>

The cause of GYNECOMASTIAis often known. If there is no symptom in the history of GYNECOMASTIA patients, there is no need to investigate.

Treatment is surgery and unfortunately there is no non-surgical treatment option. In the absence of a significant mass (by examination and ultrasound can be detected) liposuction may be suitable. It is especially beneficial for those with excess fat tissue. VASER LIPOSUCTIONVASER liposuction is more beneficial, especially for those with breast tissue and fibrous tissue. Because the shape of the chest muscles is preserved, as well as reducing unwanted appearance. The operation takes an average of one hour. The patient can return to work the next day. It is recommended to use corset for 3 WEEKS.

 

3 Critical Questions in Breast Aesthetics

 

BREAST AUGMENTATION strong> it is one of the most commonly performed plastic surgeries.  There is a lot of confusion because there are many different anatomical variations and many surgical techniques in the breast.

In this respect, it is essentially a breast shaping operation. The easiest method to achieve the desired breast shape is by placing a breast prosthesis. I will ask 3 questions to make the subject easy to understand.

  • Where is BREAST PROSTHESIS placed? So where is the incision made?
  • Under the breast; is the most preferred incision location. Get pectoral muscle from here The subcutaneous and supramuscular plans can be entered easily.

                If the level of the nipple will change and tissue will be removed from the lower pole of the breast, this method may not be suitable.

                Around the nipple; breast sagging If there is a breast tissue and the location of the nipple will change, this method is suitable.

                But since it passes through the breast tissue, the risk of infection and capsule contraction is higher.

                From the armpit ; It may seem very logical to do it under the armpit. Since it is often done closed, bleeding control may not be very good. Also, it should always be done submuscularly.

                But if it is done with the endoscopic method, it is a very reliable method.

  • Which plan should the prosthesis be placed?
  •             Sub-pectoral muscle; There is a pectoral muscle under the breast tissue that lifts our arm to the side. This muscle spreads under the breast like a fan. This muscle is separated from the lower part of the rib, and the prosthesis is placed in the pocket created. It is more painful and occurs more in those who do sports. There will be no need to disrupt the anatomical structure when there is already enough breast tissue.

                Above the pectoral muscle; The under fascia above the muscle is gently lifted and the prosthesis is placed in the pocket made.

                What type of prosthesis is placed?

                Round; The center of gravity is in the middle of the circle. For this reason, there are 2 parameters. One is the diameter and the other is the projection. It makes the upper  pole look fuller. It can be used under and over the muscle.

                Drop (anatomical); Aesthetic breasts can be made since there are 5 different variables. The position may change under the muscle at the upper pole of the breast.

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