REDUCTION OF THE MALE BREAST (GYNAECOMASTIA)

It is a growth condition in the chest area that gives a feminine appearance in men. It occurs as a side effect of some medications or due to hormonal imbalances. The treatment for gynaecomastia that does not disappear on its own is surgery. Depending on the patient, local or general anaesthesia is preferred. With the doctor’s consent, the patient can go home the same day.


If it is to be combined with liposuction, liposuction is performed first and then the excess breast tissue is removed by inserting around the nipple with a 1-2 cm incision in the shape of an inverted semicircle. The operation takes an average of 20-60 minutes.
Swelling, pain and bruising may occur after the operation, but these are temporary. There may be numbness in and around the nipple, it is usually temporary. A solution for pain is provided under the supervision of a doctor. The patient can return to daily activities within a few days.

Gynaecomastia for breast reduction:
Since unwanted sexual discrimination is present in men, the patient’s psychological condition is assessed by doctors and directed to surgical treatment.
Gynaecomastia that occurs during adolescence sometimes disappears on its own. If it is permanent, a solution can be achieved with male breast reduction.
There are three main types of gynaecomastia:
Glandular type: There is growth on the true breast tissue. Liposuction and excision are performed together.
Lipomatous type: There is growth on the fatty tissue. Liposuction is sufficient.
Mixed type: Both tissues are enlarged. Liposuction + excision is performed together.
In cases where the mass grows excessively and the breast sags, it may be necessary to remove the excess skin along with the mass.

Due to hormonal changes, gynaecomastia occurs most often in men aged 13 and older. In research, it goes away on its own within a year in 90% of these men. Changes in hormonal balance during adolescence cause breast tissue to grow, but if this balance is restored within a certain time, it will improve on its own.
Breast cancer in adult men should not be ignored. Differentially, other gynaecomastia factors should also be considered. These factors are hepatitis, cirrhosis of the liver, lung disease, some cancers, thyroid disease, testicular disease, heroin or similar drug use, and use of some medications.
Nevertheless, the majority of gynaecomastia in adults has no specific cause. Before surgery, an ultrasound of the breast should be done. This will show us whether the growth in the breast tissue consists of fatty tissue or glandular tissue.

Risks associated with gynaecomastia surgery include asymmetry between the two sides, accumulation of blood under the skin, accumulation of fluid under the skin, rotting of the nipple and infection (inflammation). However, tissue loss and the possibility of infection are very rare.
Antibiotics are used for prevention after gynaecomastia surgery under medical supervision. An elastic bandage is applied after the operation to reduce adhesion of the breast skin and any fluid accumulation. The suture should be removed within 7-10 days. Corsets are used for 2-4 weeks to ensure that the breast skin adheres to the lower tissues.
If there are irregularities in the breast skin, a second surgical procedure may be required for revision after 6 months.

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