Gynecomastia Surgery

Gynecomastia is a condition that causes aesthetic and psychological discomfort in men due to abnormal growth of breast tissue. It can develop due to various reasons such as puberty, hormonal disorders, medication use, obesity, or genetic predisposition. It manifests as noticeable swelling, fullness, and sometimes tenderness in the chest area of men.

Gynecomastia can cause aesthetic discomfort and may lead to loss of self-confidence in social life. This condition can be permanently corrected through surgical intervention.

What is Gynecomastia?

“Gynecomastia” is a word of Greek origin meaning “feminine breast”. Medically, it is characterized by the enlargement of the male breast gland. It can be unilateral or bilateral. In some cases, there is an increase in both fatty tissue and breast gland tissue.

Types of Gynecomastia:

  1. Glandular Gynecomastia: Related to the enlargement of the breast gland.

  2. Fat Tissue Dominant Gynecomastia: Also known as pseudogynecomastia. Usually occurs as a result of weight gain.

  3. Mixed Type: Both breast gland and fat tissue have enlarged together (the most common type).

Who is a Suitable Candidate for Gynecomastia Surgery?

  • Men experiencing volume increase and sagging in the chest area

  • Those who have difficulty wearing t-shirts or beachwear in social settings

  • Individuals who are physically fit but have a disproportionate chest area

  • Those experiencing breast enlargement due to hormonal or medical reasons

  • People in good general health with realistic expectations

What Causes Gynecomastia?

  • Hormonal changes during puberty

  • Use of steroids and certain medications

  • Alcohol and drug use

  • Liver and kidney diseases

  • Testosterone-estrogen imbalance

  • Genetic predisposition

When gynecomastia develops, the underlying cause is evaluated. While some conditions may be temporary, persistent gynecomastia requires surgical treatment.

Pre-Surgery Evaluation

Dr. Alper Eskalen evaluates patients with suspected gynecomastia as follows:

  • Chest examination and tissue structure are analyzed

  • Ultrasonography or breast MRI may be requested if necessary

  • Hormonal tests are conducted to investigate the underlying cause

  • A decision is made whether to apply liposuction, gland excision, or a combined technique

How is Gynecomastia Surgery Performed?

The surgical method is determined based on the type of gynecomastia.

1. Gynecomastia Treatment with Liposuction

  • Applied in patients with predominantly fatty tissue.

  • Fat is removed through small incisions using vacuum method.

  • Low risk of scarring, shorter recovery process.

2. Open Surgery (Excision) Method

  • Removal of breast gland tissue is required.

  • Tissue is typically removed through an incision around the nipple.

  • In some cases, excess skin is also removed.

3. Combined Technique

  • The most common application.

  • Both liposuction and gland excision are performed together.

The surgery usually takes 1-2 hours. It can be performed under local or general anesthesia. Same-day discharge is possible.

Recovery Process

  • Return to normal life is possible within 3-5 days.

  • A special gynecomastia corset needs to be worn for 3-4 weeks.

  • Mild pain can be controlled with painkillers.

  • Swelling and bruising decrease within a few weeks.

    1. Sports and exercise can be resumed after 6 weeks.

Scars are usually hidden around the nipple and become less noticeable over time.

Frequently Asked Questions (FAQ)

Will there be regrowth after surgery?
The risk of regrowth is low unless there is hormonal imbalance or weight gain. Permanent results are achieved.

Will there be surgical scars?
Incision scars are usually hidden around the nipple. In liposuction applications, the scars are very small.

How long should the corset be worn?
A gynecomastia corset is recommended for at least 3-4 weeks. This helps reduce edema and tighten the skin.

How painful is this surgery?
Post-operative pain is generally mild. It can be controlled with painkillers.

Gynecomastia Surgery Prices

Gynecomastia prices vary depending on the technique to be applied, the severity of gynecomastia, hospital conditions, and the type of anesthesia. Dr. Alper Eskalen evaluates each patient individually and creates a personalized treatment plan.