Gynecomastia, known as breast growth in men, is defined as an excessive breast development. Male Breast Reduction is the surgical correction of over-developed or enlarged breasts. One in three men can experience gynecomastia. It can even occur in infancy or old age. But gynecomastia most often occurs during adolescence.
The vast majority of gynecomastia does not pose a health risk. But it can cause serious psychological problems with the feeling that it causes a “feminine” appearance in men. “Is gynecomastia treated without surgery?” is one of the most common questions that comes to mind. Unfortunately, the spontaneous regression of long-standing gynecomastia is not possible. In addition, plastic surgery is required along with medical treatments.
Gynecomastia is caused by an imbalance of the hormones estrogen, the female hormone and testosterone, the male hormone. The basis for gynecomastia is prepared if the amount of testosterone in the body decreases or the amount of estrogen increases. This hormonal change can have many causes. Some of them may be developed by natural causes while others may develop due to another underlying disease.
Gynecomastia in infancy is caused by the estrogen hormone that passes from the mother during birth and usually improves spontaneously within a few weeks. The appearance of gynecomastia due to hormone irregularities seen in adolescence is one of the most common situations. In 90 percent of cases, it spontaneously recovers between 6 months and 2 years. It is more common in adults ages 50-69. One out of every 4 men in this age group has a gynecomastia.
Moreover, some medications can also cause to gynecomastia. Medications that are used in the treatment of prostate enlargement or cancer, anti-androgen drugs, anabolic steroids, androgens, some anxiety medications, antidepressants, antibiotics, ulcer medications, chemo treatments or heart pills are some of them. In addition, gynecomastia can also be resulted by health problems that disrupt the normal balance of hormones.
Examination and ultrasound for gynecomastia is necessary for the planning of diagnosis and treatment. Before surgical treatment, it is evaluated whether the patient has an underlying hormonal disorder. Treatment options are determined according to the type of gynecomastia. Medical treatments are arranged according to the patient’s age, hormonal level and underlying medical reasons.
Surgery is the most effective and precise method of treating gynecomastia. According to the classification of gynecomastia, different surgical methods are used. In glandular type gynecomastia, hard breast tissue is denser and needs to be surgically removed. In mixed-type gynecomastia, there is an excess of glandular tissue and adipose tissue. In addition to surgery, with the Pull-through technique, closed surgery can achieve more natural results without scars and wrinkles. Liposuction is sufficient for fatty type gynecomastia because the adipose tissue is in weight. The operation time takes about 1 hour and performed under general anesthesia. The average length of stay in the hospital is 1 day.
The recovery process is more comfortable if vaser or laser liposuction is preferred during the operation. After vaser and laser liposuction applications in the correction of gynecomastia due to adipose tissue, the patient sees the actual result after about 3 weeks. One can also easily perform many activities.
The operation is performed under general anesthesia, in cases surgical intervention is required. In some cases, local anesthesia can also be preferred. The patient can be discharged on the same day. After surgery, edema and swelling can be seen in the area. It recovers spontaneously in a week. It is important for the comfort and recovery process of the person to rest for 3 days without moving the arms and shoulders too much. You can only take a short shower 24 hours after the operation. Special corset should be used for 20 days or 1 month after the operation. it is useful to wear a corset only during the day, especially when performing heavy activities.
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