Gynecomastia is a condition that causes aesthetic and psychological discomfort caused by abnormal growth of breast tissue in men. It can develop due to many different reasons such as puberty, hormonal disorders, drug use, obesity or genetic predisposition. In men, it manifests itself with marked swelling, fullness and sometimes tenderness in the chest area.
Gynecomastia can cause aesthetic discomfort as well as loss of self-confidence in social life. This condition can be permanently corrected with surgical intervention.
What is Gynecomastia?
“Gynecomastia” is a word of Greek origin meaning “feminine breast”. Medically, it is characterized by an enlargement of the male mammary gland. It can be unilateral or bilateral. In some cases, there is an increase in mammary gland tissue along with fat tissue.
Types of Gynecomastia:
Glandular Gynecomastia It is due to enlargement of the mammary gland.
Adipose Tissue Dominated Gynecomastia: Also known as pseudogynecomastia. It usually occurs as a result of weight gain.
Mixed Type Both mammary gland and fatty tissue are enlarged together (the most common type).
Who is a Suitable Candidate for Gynecomastia Surgery?
Men experiencing increased volume and sagging in the chest area
Those who find it difficult to wear a T-shirt or a beach suit in a social setting
Individuals who are physically fit but have a disproportionate chest area
Those who experience breast enlargement due to hormonal or medical reasons
People in good general health and with realistic expectations
What Causes Gynecomastia?
Hormonal changes during puberty
Use of steroids and certain medications
Alcohol and drug use
Liver, kidney diseases
Testosterone - estrogen imbalance
Genetic predisposition
When gynecomastia develops, the underlying cause is evaluated. While some conditions may be temporary, permanent gynecomastia requires surgical treatment.
Preoperative Evaluation
Dr. Alper Eskalen evaluates patients with suspected gynecomastia as follows:
Examination of the chest and the structure of the tissue
Ultrasonography or breast MRI may be ordered if necessary
The underlying cause is investigated with hormonal tests
Deciding whether liposuction, gland excision or combined technique will be applied
How is Gynecomastia Surgery Performed?
The type of surgery is determined by the type of gynecomastia.
1. Gynecomastia Treatment with Liposuction
It is applied in patients with predominantly adipose tissue.
Fat is removed by vacuum method through small incisions.
The risk of scarring is low and the healing process is short.
2. Open Surgery (Excision) Method
The mammary gland tissue must be removed.
Tissue is usually removed through an incision around the nipple.
In some cases, excess skin is also removed.
3. Combined Technique
It is the most common practice.
Both liposuction and gland excision are performed together.
The operation time is usually between 1-2 hours. It can be performed under local or general anesthesia. Same day discharge is possible.
Recovery Process
You can return to normal life in 3-5 days.
A special gynecomastia corset should be used for 3-4 weeks.
Mild pain can be controlled with painkillers.
Swelling and bruising decrease within a few weeks.
Sports and exercise can be started after a week.
Scars are usually hidden around the nipple and become indistinct over time.
Gynecomastia Surgery Prices
Gynecomastia prices vary according to 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 an individualized treatment plan.