Gynecomastia refers to the pathological growth of the breast in men. This phenomenon results from the growth of glandular tissue in the male breast and can be observed in about half of all adult men. Some forms of gynecomastia can only be removed by surgery. Over the course of a man’s life, gynaecomastic tendencies occur more frequently, but disappear over time:
Newborn gynecomastia: Approximately 60 percent of male newborns have a breast attachment in the first week of life. As the infants come into contact with the mother’s estrogens through the placenta and breast milk, they grow small breasts. Normally, however, these male breasts disappear after a few weeks or months.
Puberty gynecomastia: During puberty, some boys experience breast growth again. In this phase, the hormonal balance of the body is changed 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 only temporary.
Age gynecomastia: This form of gynecomastia is very similar to that of overweight gynecomastia. Due to age, there is a higher proportion of fat tissue within the breast. The enzyme aromatase, which is abundant in fatty tissue, converts the male sex hormone into estrogen and leads to breast growth.
The aforementioned forms of male breast are temporary, but the pathological form of gynecomastia is a permanent problem. In order to treat this pathological form better, it is necessary to look at the causes.
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The causes of gynecomastia
Apart from the life-cycle related forms of gynaecomastia, a disproportionate expansion of the male breast results:
chronic diseases (such as cirrhosis of the liver or renal insufficiency)
*Taking medications (because some medications used to treat heart disease, antibiotics, or antidepressants contain substances that affect the hormone balance)
excessive long-term drug use (especially marijuana and heroin)
*Care products (some of which contain estrogens)
Weight gain (in this case, however, the proportion of fatty tissue in the breast increases)
What should be considered before the operation of a gynecomastia
Before the procedure, the surgeon will make a detailed anamnesis of your state of health and talk to you in detail about the cause of your gynecomastia. You will also plan together what your new breast should look like.
It is important for a satisfactory result that the patient already has his ideal weight. The measure to reduce gynaecomastia is only successful if the operation is not followed by a serious weight fluctuation.
You should also stop drinking alcohol and smoking a few days before the operation and avoid blood-thinning and anti-inflammatory medications.
How does gynecomastia surgery work?
The reduction of a gynecomastia is carried out by our specialists during an operation under general anaesthesia. A small incision is made in the areola of the nipple. After the incision has been made, glandular and fatty tissue as well as excess skin can be removed and the breast can then be reshaped according to the wishes discussed before the operation. Thin cannulas are inserted into the incision, which are moved back and forth very quickly by a small motor and thus pull the tissue out of the breast. This surgical procedure usually takes one to two hours and is very gentle on the tissue.
Although the removal of glandular and fatty tissue does not eliminate the cause of gynecomastia, experience shows that unattractive male breasts do not recur after surgery.
Healing process after the operation
As a rule, patients can return to work after two to seven days after the reduction of gynecomastia in Turkey, if the work does not require heavy physical activity. In order to support the healing process, however, patients should rest for at least one week.
Immediately after the operation a special compression girdle will be put on. You should continue to wear this corset for the first three to four weeks in order to prevent possible complications.
Sauna sessions and carrying heavy loads should be avoided completely for up to six weeks after the operation in order not to strain the scars too much. You can do light sports again after only three weeks.