Gynecomastia is a condition characterized by the abnormal development of breast tissue in men, leading to both physical and psychological discomfort. This development is often associated with hormonal imbalances, genetic factors, or side effects of certain medications. Through surgical intervention, excess tissue and fat are removed, reshaping the chest area. This condition, affecting clothing choices, posture, and social confidence, can fundamentally change an individual's attitude toward their body when managed with the right approach.
Gynecomastia is a condition that occurs when the breast tissue in men grows beyond normal size. Often caused by hormonal imbalances, this condition can lead to aesthetic concerns and psychological discomfort in men. Gynecomastia can be unilateral or bilateral and can occur due to an increase in fat tissue (pseudogynecomastia) or glandular breast tissue. This condition can occur at any age, but it is more common during puberty and middle age in men.
Several factors can contribute to the development of gynecomastia. The most common cause is an imbalance between estrogen (the female hormone) and testosterone (the male hormone). An increase in estrogen levels or a decrease in testosterone levels in the body can lead to breast tissue growth.
The causes of gynecomastia include:
In some cases, gynecomastia may occur without any identifiable cause (idiopathic)
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Gynecomastia surgery is performed using one of three basic methods, or a combination of them, depending on the structure of the growth. The technique to be used is determined by whether the growth is glandular (firm tissue), fatty (soft tissue), or a combination of both.
If gynecomastia is primarily caused by excess fat tissue, liposuction is the preferred technique. Small incisions are made, and excess fat is removed using special cannulas. This technique is particularly effective in patients with good skin elasticity and minimal skin sagging. The scars are usually very small and nearly invisible.
In cases where the breast tissue is firm and glandular, surgical excision is required. A small incision is made around the nipple to remove excess tissue. This method is used when there is significant breast tissue, and liposuction alone is not sufficient. If necessary, excess skin is also removed to provide a smooth contour.
For patients with both fatty and glandular tissue excess, liposuction and surgical excision are combined. This combination reduces the volume of the breast and improves contour. It is especially preferred in advanced gynecomastia cases.
Gynecomastia surgery is suitable for men who experience physical or psychological discomfort due to breast enlargement and want to permanently correct this condition. This surgery can provide significant relief, especially for individuals dissatisfied with the appearance of their chest and those whose clothing choices are limited by this condition.
General characteristics of suitable candidates include:
A thorough evaluation before the surgery will determine eligibility.
Gynecomastia surgery typically lasts between 1 to 2 hours. The duration may vary depending on the technique used, the amount of tissue removed, and the surgeon’s plan. Procedures using liposuction tend to be shorter, while excision of glandular tissue and removal of excess skin may take a bit longer.
In most cases, patients can be discharged on the same day. However, in some instances, a short hospital stay may be necessary for observation.
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