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Gynecomastia

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.

What is Gynecomastia?

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.

What Causes Gynecomastia?

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:

  • Liver and kidney diseases
  • Thyroid hormone disorders
  • Use of anabolic steroids and certain medications
  • Alcohol and substance abuse
  • Obesity
OPERATION TIME

2-5 Hours

RECOVERY TIME

5-7 Days

ACCOMMODATION

8 Days

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Gynecomastia - Before & After

Important Considerations Before Gynecomastia Surgery

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.

Important Considerations After Gynecomastia Surgery

  • Rest is Important in the First Week: This is a critical period where swelling and pain decrease, and stitches need to stay in place.
  • Do Not Neglect Corset Usage: A special medical corset is typically worn for 3-6 weeks. This helps reduce swelling and shape the new contour.
  • If Drains are Used, Daily Dressing and Monitoring are Required: Drains are usually removed within a few days.
  • Light Exercises Can Begin After the Second Week: However, activities that put strain on the chest area should be avoided.
  • Heavy Exercise, Especially Chest Workouts, Should Be Delayed for at Least 1 Month: This period may be extended by the surgeon if necessary.

Although the recovery process varies from person to person, strict adherence to the doctor’s recommendations is crucial for the permanence of aesthetic results.

Who is Suitable for Gynecomastia Surgery?

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:

  • Those with persistent gynecomastia after puberty: Individuals whose breast growth has not regressed despite hormonal balance.
  • Men dissatisfied with their body shape who feel uncomfortable in social situations: Especially those who hesitate to wear t-shirts, go swimming, or visit the gym.
  • Those who continue to have breast enlargement despite losing weight and reducing body fat: This should not be confused with pseudogynecomastia; if glandular tissue has increased, exercise will not help.
  • Individuals experiencing sensitivity, fullness, or pain related to breast enlargement: Physical discomfort may also lead to psychological effects.
  • Those in good general health who do not have conditions that would prevent surgery: Individuals without heart, respiratory, metabolic, or hormonal disorders, and who are physically prepared for 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.

How Long Does Gynecomastia Surgery Take?

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.

Frequently Asked Questions About Gynecomastia (FAQ)

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.