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Gynecomastia

One should openly discuss their expectations of looking and feeling better after surgery, taking into account that the desired result is improvement rather than perfection. Emotional stability is one of the most important factors that must be determined before any plastic surgery.

Gynecomastia surgery can improve your appearance and reassure you; But the rest is up to you After the exam, the surgeon will discuss with you other variables that will affect the decisions about the method. The degree of improvement is determined by factors such as age, heredity, bone structure, personal skin characteristics, alcohol, smoking, nutrition and habits. These factors also determine the extent to which the operation will be effective.

WHAT IS GYNECOMASTIA ?

In adolescence; It is natural for men to have growth, fullness and sensitivity in the chest area for hormonal reasons. This condition, which should be temporary, is called gynecomastia if it becomes permanent for several reasons. It can begin to affect the activities of young people, clothing and become a social problem (wear lots of clothes, cause posture disorders, avoid the sea, etc.).

Although gynecomastia often occurs as described above, sometimes one-sided or bilateral gynecomastia can be found due to hormonal causes, tumor or medications used.

A detailed history, imaging techniques (such as ultrasound, magnetic resonance imaging) and hormone analysis may be necessary for the differential diagnosis of these conditions. While classical gynecomastia begins and continues during adolescence, gynecomastia due to other causes may occur at more advanced ages and the incidence of unilateral is greater.

After determining the cause of gynecomastia with differential diagnosis, treatment planning begins. Gynecomastia is divided into 3 groups according to their size and abundance in the skin. In the first stage, its size is limited and there is no looseness or sagging skin. In the second stage, the large female breast is like a breast, but without sagging skin. In the third stage, there is an additional degree of loosening of the skin that requires treatment.

The gynecomastia stage is important to establish the treatment plan. If it is a first stage gynecomastia, if it is observed that it is predominantly composed of adipose tissue, gynecomastia can be treated only with liposuction. If the breast structure consists of a mammary gland other than adipose tissue, a small incision of the nipple can remove this tissue and send it to a pathology. It can be said that there are almost the same treatment methods in the second stage. If the sagging skin advances in gynecomastia in the third stage, then a series of surgical plans to eliminate excess skin appear on the agenda.

In cases where the elasticity of the skin is young and high, skin problems can be resolved by vacuum or surgical procedures around the nipple. However, it is necessary to perform surgical interventions for half a month under the nipple, since the largest tissue must be removed at very advanced ages and when the skin is too droopy.