Gynecomastia

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Gynecomastia

​Gynecomastia or “men’s boobs” is observed in men who have excess growth of fat tissue or glandular tissue in the breast area due to increase in the hormones in this area. This, creating a visual defect, also makes it harder to wear fit clothes. No matter how much the patient goes to gym or train, it is very difficult to turn those tissue in the muscles.

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Gynecomastia, also known as “man boobs”, is a condition that occurs in men and boys. In gynecomastia, the amount of breast tissue increases. Gynecomastia is caused by hormonal imbalance. It may affect one or both breasts and sometimes it affects breasts unevenly. It is the subject of an expert, an endocrinologist.

The results of normal changes in hormone levels cause gynecomastia. Newborns, teenage boys, and the elderly may develop gynecomastia, it is most common in these age groups. Gynecomastia is known as the most common benign disorder of male breast tissue and affects more than one in three men today.

In this article, we will talk about the causes of gynecomastia and gynecomastia symptoms first. In the second part, we will mention the types of treating gynecomastia, and finally, you will learn about gynecomastia recovery and aftercare as well. 

Causes of Gynecomastia

We know the main factor that causes gynecomastia is an imbalance between the sex hormones male sex hormone and estrogen. Estrogen causes breast tissue to grow. Men usually produce much higher amounts of male sex hormone than estrogen. If this balance changes, this causes men to grow breast tissue more than average. 

Normally gynecomastia is not a serious problem for your health and it is known as benign. 

Obesity is known as another cause of gynecomastia. Being extremely overweight is one of the factors that cause gynecomastia occurs in men. Overweight men have excess fat that causes breast tissue larger as another factor leading to gynecomastia.

It is seen and normal in newborn babies, as they receive estrogen hormone from their mothers. In this case, estrogen passes through the placenta from mother to baby. However this is temporary, and in a couple of weeks after the birth, will be disappeared. Puberty and older ages are other factors that trigger gynecomastia.

Gynecomastia Symptoms

Your plastic surgeon will review your medical past, and your family medical history and perform some physical exams. Some tests like a blood test may be asked you. Your medical expert will overview all data. 

In most cases in adults, there are no symptoms seen. Some known symptoms of gynecomastia can be lined up as below:

  • Pain
  • Swollen breast tissue
  • Nipple sensitivity
  • Breast tenderness

Gynecomastia can be felt if you press the area underneath the nipple. The lump can be tender and may move within the breast tissue. If the excess tissue is under the nipple, this might be diagnosed as “pseudogynecomastia”, in the general term of gynecomastia. 

 Breast lumps can be seen on both breasts. As both breast cancer and gynecomastia have breast lumps, your doctor may want a breast ultrasound to monitor your breast better and a mammogram to examine unusual changes in breast tissue.

Types of Treating Gynecomastia

You should visit a medical center and consult an expert, if you have any doubt about you may have gynecomastia. As soon as the medical expert gets you all data and after examining you, they will decide what type of gynecomastia treatment is suitable for you.

Two treatment types of gynecomastia are:

  • Medication to balance hormones
  • Surgery to remove excess breast tissue 

On the other hand, some people do not need any treatment for gynecomastia. If you take a medicine that causes gynecomastia, the symptoms should be disappeared, after you stop having that medicine.

If your condition is advanced, you may choose breast reduction surgery. It is a surgery in which the surgeon reduces the fat and excess skin from the patient’s breasts. As women usually have breast reduction surgery to reduce the uncomforted of bigger breasts, men may consider it if they have gynecomastia.

Gynecomastia Recovery and Aftercare

Your recovery time for gynecomastia depends on how severe your condition is. The extensibility of your surgery is another factor that determines the longness of the recovery period. It can be said that an average patient can be back to work within a week. Your surgeon will let you know how long it will take for you to back to the standards of your previous daily life again. Your first follow-up visit will be five to seven days after surgery. Your surgeon will remove your sutures and drains. In addition, you 

  • should avoid strenuous activities for the first three weeks
  • should avoid exposure to direct sun and tanning for about six weeks
  • should not worry about the discrete sensation in the breasts, it will disappear at most in a year
  • should be patient. Side effects like swelling will decrease after three months from the surgery

OUR DOCTORS

Opr. Dr. Cenk MelikoğluOperating Doctor Cenk Melikoğlu was born in Görele, in 1978. In 2002, he graduated from Dokuz Eylül University Faculty of Medicine. Between the years of 2003 and 2010, he did his specialization in İzmir Atatürk Training and Research Hospital, Aesthetic and Plastic Surgery Clinic. In 2015, he worked as a guest lecturer in the American Hospital of Paris. When abroad, he especially focused on the transfer of free vascular lymph nodes for lymphedema treatment, in the field of microsurgery. He participated in numerous training and meetings in this area. There are more than 30 articles in the literature, which were published in national and international journals. Since 2016, he has been working in İzmir Özel Ekol ENT Hospital in Aesthetic Plastic Surgery and Cosmology Clinic. He speaks English well. He is married and has one child. His special interests are; Breast Aesthetics & Dual-Plan Method, Aesthetic nose surgery, Lymphedema surgery, Endoscopic facial stretching, Aesthetic body shaping surgery (abdominal stretching, liposuction, aesthetic breast surgery), Hair transplantation with FUE method, Migraine surgery, Gynecomastia correction, Genital aesthetics (especially penis enlargement), Lymphedema Treatment (Laser Assisted, With Microcannula Lymph Protective Method), Penis Enlargement (Length & Thickness Combined Method), Migraine Surgery (Closed Method with Scopy). He was entitled to receive the "Proficiency Certificate" by being successful in the examination, which was held by the Turkish Plastic Surgery Association in 2010. In 2015, he participated in a scientific competition by Gülhane Military Medical Academy with his study 'Saddle-nose deformity repair with micro-plate-adapted costal cartilage.’ He has won the first place in the field of surgical medicine. In 2018, he worked at Weiss Memorial Hospital in Chicago, USA for three months in April, May and June on advanced techniques on gender reassignment and penis enlargement in men. He is still continuing his academic and scientific studies.
Opr. Dr. Arif AydınHe graduated from Eskişehir Osmangazi University Faculty of Medicine in 2008. He studied at Kaunas Medical Faculty between the years 2007 and 2008. He completed his specialization on Plastic, Reconstructive and Aesthetic Surgery Department at Afyon Kocatepe University between the years 2009 and 2014. He has 5 original articles published in national and international scientific journals, and 13 verbal and written academic papers presented in national congresses. He continues the academic studies. He received the competence certificate of Turkish Plastic Reconstructive and Aesthetic Surgery after his success in the exam in 2016. He did well in European Plastic Surgery Competence Written Exam that took place in Brussels in 2019. Fields of Interest: Rhinoplasty Neck lift surgery, Face lift Surgery, Otoplasty, Tummy tuck, Liposuction, Breast augmentation / reduction / mastopexy, Gynecomastia, Genital aesthetics, Blepharoplasty, Lipoedema surgery, Penis enlargement (lengthening and thickening surgery), Fat injections 
Opr. Dr. Serkan Süleyman AslanHe graduated from Dokuz Eylul University Faculty of Medicine in 1995. Between 2001 and 2007, he received his specialty training in the Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, İnönü University. He has 20 original articles published in domestic and foreign scientific journals, and 18 written and oral presentations presented in national and international congresses. He is a member of Izmir Medical Chamber and Aegean Region Aesthetic and Plastic Surgery Association. Married and father of one child, Opr. Dr. Serkan Süleyman Aslan has a good command of English. Areas of interest: Rhinoplasty Eyelid aesthetic Facial rejuvenation (face-neck lift) prominent ear Breast aesthetics (enlargement, reduction, lift) Correction of gynecomastia Tummy tuck Arm - Thigh stretch genital aesthetics Liposuction (fat removal) Fat injections Body shaping (Hip aesthetic, BBL) Minimal aesthetic applications (filler-rope hanger- neurotoxin) Fractional laser applications Skin Tumors Facial Traumas Penis Enlargement Lengthening and Thickening (Combined Method) Gender Reassignment Surgeries

Frequently Asked Questions

Men’s easthetic operations require experienced surgeons. The number of cases of women’s esthetics are more then men’s so the surgeon should be experienced performing men’s esthetics such as gynecomastia or more. Ekol Hospitals have 3 experienced surgeons who will create an individual treatment plan just for you and talk all the details with you.
The key issue is whether it bothers a patient enough to be worth undergoing surgery. Usually men will talk about being embarrassed to take their shirt off at the beach, their shirt clinging too tightly to their chest and looking odd when working out, and puffiness developing in the nipples, particularly when their nipples are warm.
The procedure is one of most easy going and less risky operations amoung all other aesthetic surgeries. The duration is around 1- 1,5 hours and nipple/ areola correction can sometimes be combined according to patients’ needs. The results of the operation is very satisfying and can be noticeable right after one day! Procedure is mostly performed under general anesthesia with laser/vaser liposuction device or sometimes with excisions. Patients can be discharged at the same day or sometimes hospitalized 1 night.
Swellings and bruises are expected after the operation. That is why a compression garment will be given to you and you will be asked to wear it approximately for 4-6 weeks. This will help the results to get more satisfying and help you to have less swellings. You will notice the results right after the surgery when wearing a shirt or t-shirt. The pain limits of each patient is ofcourse different however, we can’t tell that this is a very painful operation.
Gynecomastia patients are warned about the possibility of it coming back. There is no risk of gynecomastia coming back unless the patient goes onto anabolic steroids. The type of the operation should be decided carefully with the patient after physical examination wether to have it done by liposuction or excision.
There are often two very small incisions that are used for the liposuction portion of the procedure. If an excision needs to be done, there will be a scar at the border of the areola. Our surgeons are highly experienced about stiches and closing the incisions so you will not have big noticable scars after the surgery.
So long as your work doesn't involve straining and heavy lifting, you can expect to be back to work about three days after gynecomastia surgery. Some people go back even sooner, and many work from home the next day. You can drive when you are off the pain medication and feel totally unrestricted in order to ensure your and others’ safety.
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