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Gynecomastia
What is gynecomastia?
Breast enlargement in men is called gynecomastia. An increase in breast tissue or adipose tissue leads to an increase in breast volume, which causes problems in terms of appearance in men. Gynecomastia can occur unilaterally or bilaterally. First of all, it is determined whether there is a problem that will cause this situation, and if there is, this problem is tried to be eliminated. Gynecomastia can be corrected by open surgery or liposuction.
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What are the Causes of Gynecomastia?
Gynecomastia is a normal condition at birth, adolescence and old age, no treatment is needed and it is expected to go away on its own.
Some liver diseases, drug use, thyroid hormone disorders, some kidney diseases, substance abuse, obesity are among the main causes of gynecomastia. First of all, a general health check is carried out in the person who applies with the complaint of gynecomastia, and it is investigated whether it is one of these reasons.
What are the types of gynecomastia?
Gynecomastia can occur in glandular, lipomatous or mixed type. While the increase in glandular type breast tissue is in the foreground, the increase in lipomatous type of adipose tissue is dominant. In the mixed type, both tissues grow together.
What is done before gynecomastia surgery?
Before gynecomastia, the person's complaints and expectations are detailed and a general medical history is taken. The drugs he uses and his smoking are questioned. In the examination, the size and quality of the gynecomastia is checked. The initial level is graded as grade 1 and advanced gynecomastia grade 3. In order to obtain preliminary information about the type of gynecomastia, examinations such as usg / MRI may be needed. In cases where surgery is decided, additional tests are performed for anesthesia.
How is Gynecomastia Surgery Applied?
Liposuction is usually sufficient in grade 1 and grade 2 patients to correct gynecomastia. Rarely, open surgery should be performed in grade 2 cases where liposuction is not sufficient, especially in people with excessive glandular tissue increase, and in grade 3 gynecomastia with excess skin. Liposuction is the process of removing the fat tissues around the breast with special devices. In open surgery, the breast tissue is cut and removed with an incision made around the nipple.
Today, technological devices such as LASER and VAZER have become popular in the liposuction process. In these systems, which allow more homogeneous fat absorption by giving a diffuse energy, pain and bleeding are less and healing is accelerated.
Correction of gynecomastia is an operation that takes 1-1.5 hours. It is generally applied under general anesthesia, it can also be applied under local anesthesia.
IS THERE A RISK OF REFORMING AFTER CORRECTION OF GYNECOMASTIA?
If there is no excessive weight gain after gynecomastia, it will not reappear. However, if there are habits such as drug use, excessive alcohol consumption, or if some systemic diseases occur, gynecomastia may recur. Again, old age and excessive weight gain increase the risk of recurrence of gynecomastia.
Recovery After Gynecomastia?
You can return home the same day after gynecomastia. A special corset is worn to reduce edema. You can return to normal life the next day. However, it is natural to have mild pains that can be controlled with painkillers in the first days. Swelling and bruising may occur around the breast. The corset can be used for an average of 3 weeks, this period can be extended depending on the condition of the person.
It is recommended to stay away from sports activities for 6 weeks after the procedure, and not to be in environments that may increase edema such as sauna and steam bath. Full recovery occurs at the end of 6 weeks.
What are the Risks of Gynecomastia Surgery?
Early-term risks such as bleeding, infection, and tenderness can be seen in this surgery, albeit at a low rate. Irregularities may occur around the breast after liposuction, and this situation generally improves with massage.
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