Gynecomastia (Male Type)
Gynecomastia (Male Type)
Gynecomastia can be defined as female type breast enlargement in men.One-third of adolescents experience breast enlargement.As adolescents grow, the appearance of breast size improves, if not, it appears as gynecomastia.This problem can lead to psychological and behavioral disorders in young people.At this stage, surgical intervention is required.
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Frequently Asked Questions
It may be due to genetic causes, developmental causes, hormonal reasons or, more rarely, drug use. It is natural and developmental to see the estrogen hormone (female hormone) during infancy, adolescence and old age when the blood level rises.Apart from this, any hormonal situation that decreases the male hormone and increases the estrogen hormone due to a reason triggers the formation of gynecomastia due to hormonal reasons.If it develops due to the increase in fat tissue with obesity, a condition called pseudogynecomastia occurs, which is called false gynecomastia.
For the differential diagnosis of the aforementioned conditions, a detailed inquiry should be made, and accordingly imaging techniques such as ultrasound, MRI if necessary, and hormone analysis should be applied. After deciding the cause of gynecomastia with the differential diagnosis, treatment planning can be started.
The surgery can be performed with local or general anesthesia. Surgical options vary according to the type and size of gynecomastia. If the adipose tissue is in the foreground, it can be treated with liposuction.If the increase in breast tissue is in the foreground, open surgery may be required by making an incision in the lower half of the nipple where the brown part of the nipple meets the skin. Mostly, 2 types of surgery can be combined.
It is not possible to leave scars in open surgery or in liposuction liposuction. If the skin is abundant and the breast is drooping, then some surgical plans come to the fore that will remove the excess skin and leave a trace.
It can be done from the age of 17, which is the age at which puberty ends. If the psychological factor is at the forefront, the surgery can be performed earlier, albeit rarely. The duration of the operation varies according to the type or size of the operation to be performed. It varies between 1-2 hours on average.
They are usually discharged on the same day, although rarely the next day. In order to prevent the skin from sagging, patients have to wear a special corset for 2-3 weeks.After waiting for a closed dressing for 2-3 days, it is removed and allowed to take a shower. On the same days, patients can return to work and start light sports such as walking.
Prolonged edema and swelling may occur after gynecomastia surgery. If this situation is not explained well to the patient, it can be disturbing, but these often pass.The biggest problem encountered in the long term is not to reduce the desired amount, in which case a second operation may be required. Otherwise, the breast tissue will not increase again and therefore the repair is permanent.