Gynecomastia is the condition of having excessively enlarged or enlarged breasts similar to female breasts, which often occurs during puberty in men, but can occur at any age.
This may be due to hormonal changes, after the use of certain medications, or due to heredity or obesity.
Gynecomastia can cause emotional discomfort and destroy individuals’ self-confidence. Some men may avoid wearing revealing clothes, physical activities that reveal their breasts, or even sexual intimacy to hide their situation. Patients may be ashamed to wear a t-shirt and swim in the sea and pool in summer. Some patients walk and sit with their breasts stretched to hide the size of their breasts.
Gynecomastia surgery can be performed with the liposuction method, or in addition to liposuction, devices such as laser or vaser (ultrasonic-based fat breakdown) can be used. Open surgery technique is used in patients who find hard tissues in the breasts that cannot be removed with liposuction. Excess skin should also be removed in patients with excess skin tissue or sagging chest.
A patient with gynecomastia has excess fatty tissue, mammary glands (glands) in the breast area. In some patients, excessive excess and sagging of the chest skin can also be observed. Although it can be seen unilaterally in some patients, it is usually seen in both breasts.
Gynecomastia surgery reduces breast size in men, straightens the chest lines and gives a masculine appearance. In severe cases of gynecomastia, the excess weight of breast tissue can cause the breasts to sag and the nipple to appear enlarged. In these cases, the position and size of the nipple is surgically improved and excess skin is reduced.
Candidates for gynecomastia surgery include:
Adolescents may benefit from surgery, but secondary procedures may be needed in the future if breast development continues.
The cost of gynecomastia surgery can be very variable. Cost determining factors are:
Your health and satisfaction are more important than a fee. When choosing a plastic surgeon for gynecomastia surgery in your area, remember that the surgeon’s experience and being able to agree with your surgeon are as important as the final cost.
When you come to the examination for gynecomastia surgery, you should discuss the following issues with your surgeon,
Your expectations from the surgery
In addition, your breasts will be examined during this examination. It can take detailed measurements of its size and shape, skin quality and nipple placement. Your photo will be taken for your medical records.
When you come for the examination, it is time to ask your plastic surgeon questions. To assist you, I have prepared a list of questions you can ask your Aesthetic Surgeon during the examination. You can use this list.
It is very important to understand all aspects of your surgical procedure. It’s natural to be worried about your new appearance, or to be stressed and excited before surgery. Do not hesitate to discuss all your concerns with your plastic surgeon
The decision to undergo a plastic surgery operation is extremely personal? You will need to decide whether the benefits of the surgery will meet your expectations and whether the risks and potential complications of gynecomastia surgery are acceptable.
You will be asked to sign consent forms to make sure you fully understand the procedure, risks and potential complications.
The risks of gynecomastia surgery are:
All these risks are seen with low probability. It is important that you speak directly to us with your questions regarding these.
You will be asked for gynecomastia surgery,
The stages of a gynecomastia surgery are;
Anesthesia will be applied so that you do not feel pain during surgical procedures. The most common anesthesia options are intravenous sedation and general anesthesia. In patients with small breasts, surgery can also be performed with local anesthesia (regional numbing).
In most cases, gynecomastia can be corrected with liposuction techniques. During liposuction, a few small incisions are made and a cannula is sent under the skin and the adipose tissue is taken out of the body through this cannula. The cannula is moved back and forth in a controlled manner to remove excess fat, at the same time the adipose tissue is removed from the body with the applied vacuum.
Other techniques such as laser or vaser can be used with liposuction. In these techniques, laser or vaser is applied before liposuction and the fat tissue is melted. Then, liposuction is performed to remove the fragmented adipose tissue. In both laser lipolysis and vaser technique, it is possible to tighten the skin without making an extra incision on the skin. The use of laser or vaser provides more aesthetic results in patients with a small amount of excess or slight sagging on the breast skin.
If there are hard tissues called fibrotic bands in the breast, open technique can be applied. Before the open technique, liposuction is performed again. Fat tissue is removed from the breast. Then, an incision of 1-1.5 cm is made from the nipple to remove other tissues in the breast, and the tissues that are not removed by liposuction are removed from this incision. Since the incision is made between the brown and white skin of the nipple, there is no obvious scar after the operation.
Skin excision techniques are recommended to correct gynecomastia in patients with excess skin. With this surgery, excess skin tissue is removed. The sagging nipple is lifted to its anatomical place. The incision shape varies depending on the patient-specific conditions and the surgeon’s preferences. In this surgery, there will be a scar of varying length and shape on the breast, depending on the skin removal technique.
It is necessary for the success of your surgery to follow the instructions given by your doctor regarding the dressing, the use of the clothes to be used after the surgery, taking the prescribed medications and coming to the control examinations.
It is important that surgical incision sites are not subjected to excessive force, swelling, abrasion or movement during healing. Your doctor will give you specific instructions on how to care for yourself.
The results of gynecomastia surgery can be seen immediately. Over time, post-operative swelling improves and the incision lines fade. The final results of your gynecomastia surgery show themselves in 3-6 months. The scars on the incision lines will fade over time and become less visible.
