Gynecomastia Surgery in Turkey

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Gynecomastia Surgery in Turkey

Gynecomastia Surgery in Turkey

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In its simplest definition, gynecomastia is a condition of breast enlargement seen in men due to various reasons. Biologically, it is assumed that the mammary glands in both men and women are small in size and undeveloped in men. However, hormonal changes that occur due to various reasons cause unilateral or bilateral growth of the breast tissue; this causes gynecomastia problem.

Although gynecomastia, in which one out of every 5 men suffers, is mostly seen in adolescents and middle-aged individuals, in some cases it is also seen in newborn boys. This is because of the high amount of estrogen hormone passed from mother to baby during pregnancy; This situation may disappear spontaneously over time.

In adolescents, hormonal changes are the reason for the growth of breast tissue. During this period, while the testosterone level decreases, the estrogen level rises. Like the congenital gynecomastia problem, breast growth during puberty may lose its effect as the age progresses.

Symptoms of Gynecomastia

Physical examination and hormone tests are performed for the diagnosis of gynecomastia, and imaging techniques such as ultrasound and MRI are used. During this period, the underlying causes of gynecomastia are also investigated. Symptoms related to gynecomastia are as follows:

  • Visible swelling in breast tissue,
  • Breast tenderness,
  • Size inequality between breasts,
  • Pain in the breast
  • Feeling of a lump under the nipple,
  • Nipple discharge.

If all or a few of these symptoms are seen, a specialist doctor should be consulted for detailed examination and diagnosis.

Stages of Gynecomastia

There are four levels of Gynecomastia, divided according to the size of the breast and sagging.

First Level: There is no increase or sagging in the skin, the increase in the breast size is limited.

Second Level: No sagging in the skin but there is an increase in the breast tissue.

Third Level: In addition to the increased breast tissue, there is a saggy skin.

Fourth Level: The increased breast tissue reaches the size of women breast, which needs a surgical intervention.

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Before Gynecomastia Operation

All men over 18 can do Gynecomastia operation, the doctor will make a physical examination before the operation with hormones test, blood test, and other necessary tests. This way the doctor will figure the reason of Gynecomastia. Surgical intervention is planned when there is no specific reason or if there was a problem and got solved but the patient’s condition did not change. The procedure’s technique varies according to the level of Gynecomastia. There are some things to consider before the operation:

  • Inform your doctor about the medications you are using.
  • Stop using headache medicines, herbal supplements, vitamins, and aspirin a week before the operation.
  • If you smoke or drink alcohol, you should stop a week before the operation in order to recover faster.

Even if Gynecomastia is a simple operation, you must follow the doctor’s instructions during and after the operation so you can heal easily.

After Gynecomastia Operation

Patients who had done Gynecomestia in Turkey under local anesthesia can leave the hospital at the same day of operation, but patients who has done it under general anesthesia can leave in the next day. You should wear a corset for one month after the operation to prevent sagging. There is no pain after the operation because it is very simple, but in the first few days after the operation, liquids may occur or sensitivity or bruises in the operation site. Usually, these symptoms disappear after 3 or 4 days after the operation. You can shower after two days of operation. Three days of rest are enough. At the end of the third day, the patient can go back to normal life normally. During this period, patients should pay attention to personal hygiene and bandages. There are some things to consider after the operation:

  • For 4 weeks, at least after the operation, do not stretch your arms or lift heavy things,
  • Use the prescribed medications regularly,
  • Avoid heavy sports for two months, after one month of the operation you can do light sports like walking,
  • Do not smoke or drink alcohol for one month at least after the operation,
  • Do not sleep on your chest for 15 days,
  • Wear the medical corset for the prescribed period by your doctor.

During the Gynecomastia  Operation

Gynecomastia is a simple operation especially in Turkey, and by following your doctor’s instructions you will get the aesthetic appearance easily.

Gynecomastia surgery, which is usually performed with the help of local anesthesia, can be performed under general anesthesia in complicated cases. The process takes about 1-2 hours.

During the operation, the excess tissue in the breast is removed by liposuction (fat removal) or open surgery, depending on the stage of gynecomastia. Liposuction in the first two stages of gynecomastia; In the 3rd and 4th stages, open surgery can be applied to remove excess skin in addition to the liposuction procedure. Especially in the 4th stage, a procedure similar to breast reduction surgery applied to female patients is performed. With this procedure, a flat chest is obtained by removing excess breast tissue and sagging skin, and then the patient may need to stay in the hospital overnight.

Reasons behind Gynecomastia

There are no diseases that may cause Gynecomastia. Usually it happens due to hormonal imbalance and rarely a tumor. One of the genetic factors that may cause Gynecomastia is different levels of hormones in the body, unhealthy nutrition, weight gain or loss, or medications that affect the hormones.

  • Over Weight: Weight gaining leads to increased fat in the body, which increases the tissues size in the breast. Losing weight even with sport will decrease the tissues but sagging will be noticeable.
  • Hormonal Imbalance: The imbalance between testosterone and estrogen is one of the important reasons behind Gynecomastia. Usually, the reason of this imbalance is unknown, but the increase of estrogen is the reason behind gynecomastia.
  • Some Diseases: Hepatitis, hepatic cirrhosis, liver failure and other liver diseases, kidney failure, lung cancer, lung diseases, thyroid disease, genetic diseases such as Kleinfelter syndrome or tumors in testicles may lead to an increase in the size of breast tissue.
  • Side effects of medications: Some medications which are taken for a short period or continuously, might have some side effects that lead to Gynecomastia. In addition, Gynecomastia may occur with men who use steroids for bodybuilding.
  • Bad Habits: Some bad habits such as smoking, alcohol and drugs may affect the lung functions, which leads to Gynecomastia.

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