Gynecomastia is called benign excessive breast enlargement seen in men. Breast enlargement in men, which can also be seen in infancy and old age, occurs most often in adolescence. Although there is no health condition in men, gynecomastia can cause feelings such as lack of self-confidence and embarrassment. It is not a self-limiting disease and is treated with surgical intervention. You can make a free preliminary interview for gynecomastia surgery at our Private Yüzyıl Hospital Aesthetic and Plastic Surgery Clinic.
Gynecomastia in men can be seen due to the irregular working of hormones. In cases where the amount of testosterone in the body decreases and the amount of estrogen increases, gynecomastia may occur. Apart from this, especially male babies can be born with large breasts due to the estrogen passed from the mother after birth. Within a few weeks, this condition disappears on its own. Due to hormonal irregularities during adolescence, it can be observed frequently in men between the ages of 50 and 60 in the elderly. At the same time, many drugs used can cause gynecomastia. These can be listed as drugs used in the treatment of prostate cancer, drugs used in the treatment of AIDS, anxiety drugs, chemotherapies. Gynecomastia can also be seen in diseases such as drug use, alcohol use, tumor, thyroid, kidney failure, liver failure.
Gynecomastia symptom in men can be seen as breast swelling, pain, tenderness or fluid coming from the breast. Gynecomastia examination is first diagnosed by palpation with the finding of a hard and walnut-sized mass behind the nipple. This finding should be confirmed by breast USG and the treatment method should be determined accordingly.
Before starting the gynecomastia treatment, it should be investigated whether there is a hormonal disorder in the patient. Treatment options are determined according to the type of gynecomastia. Gynecomastia seen in adolescents is determined by the size of the tissue disc located under the brown ring on the nipple. In cases with disc size less than 4 cm, the disease is expected to go away on its own. However, if it is larger than 4 cm, treatment should be applied. If the disc size is larger than 6 cm, surgical intervention is applied. Treatments are applied by considering the patient's age and the source of the hormonal disorder. Surgical intervention is the most effective method in gynecomastia and different methods can be used in the treatment depending on the type of gynecomastia. The surgery is performed under general anesthesia, but in some cases it can be performed using local anesthesia. It covers an average of 2-3 hours.
After gynecomastia surgery, men may experience swelling and edema in the breast area, but this will go away at the end of the first week. Post-operative muscle pain may occur and it is important to rest for the first 3 days and not to move the arms and shoulders too much in order to speed up the healing process. At the end of 3 days, the patient can take a shower and return to work if working. It is very important to use a gyecomastia corset after gynecomastia surgery. Regular use right after the surgery and for the period determined by the doctor is very important for the healing process.