Anesthesia Type: General Anesthesia
Operation Duration: 2-3 Hours
Duration of Hospitalization: 1 Day
Sensitivity: 2-5 Weeks
Return to Work Time: 2-3 Days
What is gynecomastia?
- Gynecomastia; It is defined as an overgrowth (benign, benign) occurring in the breast tissue of men.
- Gynecomastia can be single or double breast.
- Gynecomastia most often becomes evident in the pubertal (adolescence) period.
- Studies have reported that gynecomastia is seen in 30-60% of the population.
- Gynecomastia usually begins to become evident at the age of 9, and is noticed at the age of 13-14.
- The most effective and definitive solution for gynecomastia; It is the reduction of the enlarged breast tissue with gynecomastia surgery.
What are the stages of gynecomastia?
Gynecomastia consists of 3 stages according to Simon Criteria.
- Stage 1 Gynecomastia: There is a small growth in the breast. There is no excess skin tissue.
- Stage 2 Gynecomastia:
- a) There is moderate growth in the breast. There is no excess skin tissue.
- b) There is moderate growth in the breast. There is an excess of skin texture.
- Stage 3 Gynecomastia: There is significant growth in the breast. There is an excess of skin texture.
What are the causes of gynecomastia?
- Inherited traits
- Obesity
- Developmental-Physiological abnormality
- Due to drug use
- Due to tumors
- Due to systemic causes
- Due to congenital diseases
- Presence of gynecomastia in family history
- Hypogonadism (decreased androgen synthesis or increased androgen resistance)
How is gynecomastia surgery performed?
- General anesthesia is performed in gynecomastia surgery.
- There are two techniques in gynecomastia surgery.
- Depending on the patient’s condition, two techniques can be used together or the liposuction technique can be used alone.
Liposuction technique: Removal of excess fat tissue with Vaser liposuction
Excision technique: removal of glandular breast tissue or excess breast
- The operation takes 2-3 hours.
- Liposuction (liposuction) is applied to remove the accumulated fat tissue during gynecomastia surgery.
- Several small incisions are made for liposuction.
- Cannulas are inserted into the breast through these incision points.
- Excess fat tissue is loosened with the movement of the cannulas.
- The loosened fat tissue is removed from the breast with the help of vacuum.
- If the mammary gland needs to be removed in a person with gynecomastia, these tissues are removed by excision technique.
- In addition, areos can be reduced in size by excision in gynecomastia.
- The nipple is reconstructed to have a contour suitable for the natural male breast structure.
- The incision is made in the way that the doctor finds most suitable for the patient.
Will there be any scars after gynecomastia surgery?
- When only liposuction is performed in gynecomastia surgery, a very slight trace of the incision marks remains where the breast folds.
- If breast tissue is removed in gynecomastia surgery, a slight incision scar remains under the ring around the nipple.
Does gynecomastia go away without surgery?
- Regular exercise and a healthy diet reduce the amount of fat in the breast area.
- However, the existing breast tissue itself doesn’t shrink.
- Therefore, the most effective and definitive result in gynecomastia is gynecomastia surgery.
What should be done after gynecomastia surgery?
- You should sleep in the supine position for the first 3 days after the gynecomastia surgery.
- Shower shouldn’t be taken.
- Stitches dissolve in 1-2 weeks
- The patient uses a regular chest corset.
- The corset shouldn’t be removed for 3 weeks.
- For the first 6 weeks, activities such as strenuous activity and exercise should be avoided.
- It takes approximately 3-6 months for the results of gynecomastia surgery to appear fully.
