Gynecomastia is a health problem that occurs when breast tissue in men grows more than normal. This condition can develop due to hormonal imbalances, the use of certain medications or genetic factors. Gynecomastia can negatively affect both physical appearance and self-confidence. With surgical intervention, excess breast tissue is removed and the chest area is given a flatter and more masculine appearance. Before the operation, the patient's general health status and expectations are evaluated in detail. The recovery process after gynecomastia surgery is usually fast and patients can return to their daily lives in a short time.
Gynecomastia is a condition characterized by the abnormal enlargement of breast tissue in males. It can occur due to hormonal imbalances, genetic predisposition, or as a side effect of certain medications. Although symmetrical growth is usually observed in both breasts, it can also occur unilaterally. While it is not a physical health issue, it can negatively impact an individual’s aesthetic and psychological well-being.
The most common cause of gynecomastia is the imbalance between estrogen (the female hormone) and testosterone (the male hormone). This imbalance can develop due to congenital factors, during puberty, with aging, or due to certain health issues. Other causes include:
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Blood-thinning medications and supplements like aspirin, vitamin E, and omega-3 should be discontinued at least 7 days before the procedure.
Nicotine impairs tissue healing and increases the risk of infection and scarring. Alcohol can also slow down overall recovery.
If there is an underlying systemic condition causing gynecomastia, this should be controlled first.
Patients should understand what kind of appearance they can achieve and communicate clearly with the surgeon.
Although the recovery process varies from person to person, strict adherence to the doctor’s recommendations is crucial for the permanence of aesthetic results.
Gynecomastia surgery is a highly beneficial procedure for male individuals with abnormal breast growth, both aesthetically and psychologically. Not every case of gynecomastia requires surgery, but surgical intervention is recommended when the growth has become permanent and affects the quality of life.
The following individuals are suitable candidates for gynecomastia surgery:
Each patient is evaluated after a detailed examination and imaging. Expectations should be openly communicated with the surgeon, and the decision-making process should be collaborative.
The duration of the surgery varies depending on the technique used. If only liposuction is performed, the procedure typically lasts 45-60 minutes; if liposuction and tissue removal are both performed, it can take 1.5-2 hours. Discharge on the same day is usually possible, but some patients may need to stay in the hospital for one night.
The incision in gynecomastia surgery is typically made around the nipple (areola line), so scars are hidden along the natural skin transition lines. In cases where only liposuction is performed, much smaller incisions of 3-4 mm are made, which fade over time and become nearly invisible. The visibility of scars may vary depending on skin type and wound care. It is recommended to use scar-reducing creams or silicone-based dressings during the healing process.
It is normal to experience pain, a feeling of tightness, and swelling in the chest area, especially in the first 2-3 days after surgery. These symptoms can be managed with painkillers recommended by your surgeon. Pain is usually milder in procedures focused on liposuction; in cases where glandular tissue is removed, it may be more intense for a few days. Swelling typically decreases within 1-2 weeks, and complete recovery occurs within a few weeks.
Results achieved with the correct choice and appropriate surgical technique are generally permanent. However, factors such as hormonal imbalances, excessive weight gain, or the use of anabolic steroids can lead to renewed growth of breast tissue. Therefore, maintaining healthy lifestyle habits, regular exercise, and balanced nutrition are recommended post-surgery.
If the enlargement is solely due to fat tissue, partial improvement can be achieved with regular exercise and diet. However, in individuals with increased glandular (firm breast gland) tissue, exercise will be insufficient. Weight training may actually increase breast size and make the appearance more pronounced. Therefore, a clinical examination and imaging should confirm the diagnosis, and surgical planning should be made if necessary.
The recovery process varies depending on the technique used and the individual's lifestyle. Those with desk jobs can typically return to work within 3-5 days. For jobs that require physical activity or active use of the arms, this period may extend to 10-14 days. Heavy lifting, intense sports, or exercise is generally advised to be avoided for about 4 weeks.
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