Gynecomastia

This disease, which is a problem seen in one out of every three men, occurs when hormones do not work properly. In some patients, excessive release of hormones due to the use of steroids causes this disease. Again, in some patients, due to genetic reasons, it is seen that the breasts grow larger than they should be.

Patients should stop taking blood thinners before the operation. It is also important for patients to stop smoking at least two days before the operation. Informing the patient about the operation is also carried out by the doctor.

After these procedures, it is possible to drink water after the first 4 hours. Again, patients can shape the breast structure by using a corset after the gynecomastia procedure. Patients can go to the doctor on the third day of the operation and have the dressings removed. Daily activities can be performed after one month.

There are three periods when gynecomastia is most common due to hormonal changes. The first of these is due to the estogen effect passed from the mother during the newborn period. Secondly, gynecomastia is seen during adolescence due to incompatibility between hormones. In advanced age, gynecomastia can be seen due to decreasing testosterone. But today, gynecomastia is frequently seen at any age due to malnutrition.

The two most common complaints in gynecomastia patients are not being able to wear a t-shirt and not being able to go to the sea or pool. As it can be understood from here, gynecomastia can also affect patients psychologically.

Gynecomastia is usually diagnosed by physical examination. The consistency of the breast tissue is very important during this physical examination. The main cause of gynecomastia in soft breasts is increased breast fat. In hard breasts or breasts with palpable hardness, the increase in adiposity is accompanied by an increase in breast tissue.

Here, the cause of breast enlargement is the enlargement of the breast due to an increase in adipose tissue without an increase in breast tissue. False gynecomastia is the most common cause of gynecomastia and is often seen in overweight patients.

Ultrasound can be used to diagnose breast enlargement in men. With the help of ultrasound, it can be seen more clearly whether there is an increase in breast tissue in the breast.

In the vast majority of breast enlargement in men, liposuction is performed because there is fat in the breast. Vaser liposuction is very effective in breast reduction treatment in men. The first surgery for which Vaser was approved for use is gynecomastia. Vaser can both melt the fat tissue in the breast and partially break down the breast tissue. In this way, most patients do not need to remove breast tissue with an additional incision. Especially in gynecomastia patients with mild excess skin, a faster recovery of excess skin is seen after vaser liposuction.

There are multiple factors that affect the type of surgery to be performed in breast reduction surgeries in men. As I mentioned before, fat tissue is definitely removed with Vaser liposuction in gynecomastia patients with increased adiposity. If there is no excess skin or palpable breast tissue, the surgery is terminated at this stage. If there is palpable breast tissue after Vaser liposuction, excess breast tissue can be removed by entering through the incision used for Vaser. If there is no excess skin after the removal of breast tissue, the surgery is terminated at this stage. If there is excess skin, the excess skin is removed either around the nipple or by using appropriate incisions. The most commonly used method at this stage is to remove the excess skin around the nipple and leave the scar only around the nipple by shrinking the incision around the nipple. The purpose of leaving the scar around the nipple is to hide the scar. Since there is a natural border between the nipple and normal skin due to the color difference, the scar is placed on this border. In this way, the scar is less visible.

Since these patients have intense weight loss, there is usually no need for liposuction. The main problem in these patients is the excess skin. Therefore, longer incisions should be used in these patients. One of the most suitable of these techniques is breast reduction surgery using a single line under the breast.

After gynecomastia surgery, patients are recommended to use a corset for 6 weeks. These corsets can be in the form of a band or a tank top. The purpose of using the corset is to ensure that the skin under which the fat and breast tissue is removed can adapt again. The corset should be used as long as possible, especially in the first weeks, this is especially true for the first 2 weeks. Afterwards, daytime corset use can be gradually reduced. We recommend that the use of the corset at night should continue for up to 6 weeks.

Although not in all patients, some patients may need hormone tests. The aim here is to determine whether there is an underlying hormonal disorder.

This disease consists of three stages. In the first stage, a limited growth occurs. in the second stage, the level of growth increases but there is still no sagging. In the third stage, the patient experiences pain and sagging of the breast structure. At this stage, it is not possible to correct the breast structure with exercises or sports.

Three types of gynecomastia occur in patients. In the glandular type structure, the breast tissue is relatively small and surgical intervention may be required. In mixed type cases, in addition to the glandular structure, excessive fat tissue also occurs. Both surgical procedure and liposuction should be applied to the patient and excess tissues should be removed. In fatty type patients, adipose tissue is predominant.

This method mostly involves the removal of fat tissue. With the liposuction method, the process is completed by removing fat by vacuuming through cannulas opened from the side sections of the patients. However, in some patients, it is not enough to remove only fat. If the breast tissue is not removed, the patient will progress again.

In this method, unlike the other method, the procedure is performed from the brown part of the nipple, not from the sides. The patient's appearance is corrected by removing fatty tissues and glanular tissue through a half incision made under the brown part of the nipple.

Before the treatment, I reveal which type of gynecomastia problem the patient has. For this purpose, by looking at imaging techniques, I determine whether the patient has a problem with fat or glanular weight and proceed to treatment procedures.

At this stage, a 5 mm incision is made in the armpit. In the next stage of the procedure, the ultrasonic liposuction method is used to break down the fat cells. If the patient has dense glandular tissues, these tissues are also removed through the same incision. Pull-through technique is used during the removal of glandular type tissue.

In such cases, since there is not much glanular tissue, it is sufficient to remove only the fat tissue. At this stage, the incision is opened again and the fat is removed with the vaser liposuction method. Thanks to the use of vaser liposuction method in this method, sagging of the remaining tissues is prevented.

At this stage, although there are those who perform operations directly from the nipple with the open technique, the vaser method gives more successful results in removing sagging. Using the vaser method at this stage allows the cells to be firmer. Generally, patients at this stage are overweight and their breast structure has started to sag.

In these patients at the last stage, the breast structure completely resembles the breast structure of women. For this reason, breast reduction procedures performed in women need to be repeated. Again, it is inevitable for patients to have scars during the fulfillment of these procedures. But these scars disappear over time.

This depends on the degree of the disease and the type of surgery to be performed. However, patients can return to their normal life within 7-10 days.

Patients can usually take a bath 2-3 days after surgery.

Although it varies from patient to patient, patients can start cardio training that does not require arm movement (such as walking) 2 weeks after surgery. They can start training that requires arm movement 4-6 weeks after surgery.

The most common surgery group in which gynecomastia is combined is Vaser liposuction surgeries for other parts of the body. To give an example here, patients usually apply to us with gynecomastia and fat in the abdomen, sides of the abdomen and lower back. In this combination, the patient can both get rid of excess fat and breast tissues, and if the body structure is suitable, the patient can gain a more athletic appearance by performing a sixpack.

Performing these procedures in environments without adequate hygiene may cause the patient to become infected. Therefore, the patient should be operated in a sterile environment. Again, after this treatment, attention should be paid to personal hygiene to eliminate possible risks.

Although general anesthesia is often used in this treatment method, it is also possible to apply sedation or local anesthesia according to the doctor's decision.

This treatment method is a relatively short method. Although it varies from patient to patient, gynecomastia operations do not exceed one hour and take an average of 45 minutes.

Since local anesthetic creams are used during the operation, no pain occurs. If pain sensation occurs after the operation, you can use painkillers with the doctor's advice.

Since gynecomastia, a problem that occurs in male patients, is mainly caused by breast tissue and adipose tissue, losing weight does not cause a change in breast structure.

If the patient does not pay attention to their weight after this operation, the volume increase of the breasts may occur again. It is important for patients to pay attention to their nutrition in this respect.

There is no known non-surgical technique for this problem. Therefore, patients with this problem in the breast structure should undergo surgery.

Both the open technique and the liposuction method leave no scars. Since the liposuction method is performed through incisions, there are no scars. In the open technique, scars disappear over time.

Patients are advised to use a corset for 3 weeks after gynecomastia procedures.

There is no downside to starting light exercises 3 weeks after surgery. However, it is necessary to wait at least 6 weeks for heavy exercises.

You can receive treatment from private hospitals for this technique, which is a treatment technique not covered by the social security institution and private insurances.

Prices vary according to the method used as well as the anesthesia technique used. For more information about prices and techniques used, you can contact health centers that offer gynecomastia treatment. You can contact us immediately to get information about gynecomastia treatment prices 2026.