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Gynecomastia refers to the pathological enlargement of the breast in men. This phenomenon is caused by the growth of glandular tissue in the male breast and can be seen in about half of all adult males. Some types of gynecomastia can only be removed by surgery. Gynecomastia tendencies appear more often during a man’s life, but fade over time.
About 60 percent of male newborns have nipple binding in the first week of life. Small breasts grow as babies come into contact with the mother’s estrogens through the placenta and breast milk. But normally these male breasts disappear after a few weeks or months
During puberty, some boys experience breast enlargement again. At this stage, the hormonal balance of the body changes again and there may be a short-term overproduction of estrogen, which is responsible for the growth of male breasts. This form of gynecomastia is also usually temporary.
This form of gynecomastia is very similar to overweight gynecomastia. Due to age, the rate of adipose tissue in the breast is higher. The aromatase enzyme, which is abundant in adipose tissue, converts the male sex hormone to estrogen, leading to breast enlargement.
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Mentioned forms of the male breast are temporary, but the pathological form of gynecomastia is a permanent problem. In order to better treat this pathological form, it is necessary to look at its causes.
Things to consider before gynecomastia surgery Before the procedure, the surgeon will take a detailed anamnesis about your health condition and will talk to you in detail about the cause of gynecomastia.
You will also plan together how your new breast should look.
For a satisfactory result, it is important that the patient already has an ideal weight. The measure taken to reduce gynecomastia is only successful if there is no serious weight fluctuation after the surgery.
In addition, you should stop drinking alcohol and smoking a few days before the operation, and stay away from blood thinners and anti-inflammatory drugs.
Besides life-cycle forms of gynecomastia, a disproportionate enlargement of the male breast results in:
The reduction of gynecomastia is performed by our specialists during an operation under general anesthesia. A small incision is made in the areola of the nipple. After the incision is made, the glandular and adipose tissue and excess skin can be removed and then the breast can be reshaped according to the wishes discussed before the surgery.
Thin cannulas are inserted into the incision, which are moved back and forth very quickly by a small motor, thus pulling the tissue out of the breast. This surgical procedure usually takes one to two hours and is very gentle on the tissue.
Although removal of glandular and adipose tissue does not eliminate the cause of gynecomastia, experience shows that unaesthetic male breasts do not recur after surgery.
As a rule, patients can return to work two to seven days after gynecomastia subsides in Turkey, if the job does not require heavy physical activity. However, patients should rest for at least a week to support the healing process.
A special compression belt will be worn immediately after the surgery. You should continue to wear this corset for the first three to four weeks to avoid possible complications.
Sauna sessions and heavy lifting should be avoided completely for up to six weeks after the surgery so that the scars do not stretch too much. After only three weeks, you can do light sports again.
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