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Although women firstly come to our minds when we talk of the desire to have a perfect look and esthetics, nowadays increasing number of men prefer esthetic operations. One of the most firstly preferred esthetic applications in men concern breast esthetics performed to correct breast growth (gynecomastia) similar to women.
Breast growth due to various etiologies as weight gain, hormonal imbalances or genetic factors may lead to loss of self-confidence and decrease in self-esteem, and negatively affect social relationships of the person. A man with an enlarged breast tissue, may avoid swimming in the sea or pool during summer months and his sexual life may also be adversely affected. Fortunately, there are also esthetic solutions and surgical options for the management of breast growth in men.

What is Gynecomastia?

Gynecomastia is a benign growth of breast tissue in men. This is clinically characterized by the presence of a firm solid mass that penetrates deeply and surrounds the nipples. Gynecomastia can affect one or both of the breasts in men. In general, breast growth due to a defect in the endocrine system increases with estrogen increase; however, the increase in breast tissue is usually not cancerous

Why Breast Growth Occurs in Men?

With the onset of adolescence, breast tissue also develop. In men Therefore, transient gynecomastia is seen in men during adolescence. Hormonal changes occurring during adolescence and testosterone production lesser than estrogen production are the causes of breast growth in men.

  • Levels of estrogen hormone is than those of testosterone,
  • Estrogen hormone acts as a growth hormone, which causes breast growth in men,
  • 10% to 25% of men with gynecomastia use narcotic drugs. Therefore gynecomastia can be seen due to different reasons,
  • It can be seen in people suffering from kidney disease and liver problems.
  • There are some medications that can enlarge breast tissue. Anti-HIV drugs, ulcer remedies and some antifungal drugs can cause gynecomastia in men,
  • Very rarely gynecomastia can be related to genetic factors;

Treatment of Gynecomastia

During the process of treating breast enlargement problems in men, the doctor will first learn the patient's medical history and perform a physical examination. In these evaluations; breast tissue, penis size, testis development and evaluations of the relevant mass lesions will be made. Also, your pubic region, and armpits will be examined by your doctor. Additionally, tests will also be carried out in patients concerning liver disease or kidney disease and drugs used.

There are several treatment options for the management of gynecomastia. If there is a small enlargement of the breast tissue, this condition can be controlled by medication. In the case of chronic breast growth, surgery may be required. In this case, expanding breast tissue will be surgically removed.

Gynecomastia Surgery

In males, the breast consists of a small amount of male breast tissue under the nipple as well as a fatty soft tissue. The proportion of fatty tissue varies from person to person. Both breasts of man with a gynecomastia problem may be abnormally enlarged. This enlargement may only be due to deposition of excess fat or growth of breast tissue or both.

In the case of early-stage gynecomastia, liposuction may lead to removal of excess fat tissue. During this operation, a cut of 3-4 mm is made and excess fat tissue can be withdrawn with metal tubes inserted through this incision. In addition, excision of the tissue in the region can be performed to remove excess mammary gland tissue. This process normally leaves a non-permanent small mark around the nipple.

If a large reduction in the amount of tissue and skin is required, the skin traces will be larger. In some cases, excision and liposuction procedures can be applied together. After gynecomastia surgery, there may be bruises and swelling in the breasts. Usually, to help reduce swellings, your doctor will advise you to wear a special garment for 2-6 weeks

An average of 6 weeks is required for the patient to return to his normal routine. In addition, very rarely complications associated with gynecomastia surgery occur. Sometimes; required amount of breast tissue cannot be removed leading to be distorted chest contour. In such cases, it may be necessary to repeat the process and perform a new operation. If liposuction was used for the treatment of gynecomastia, it may take at least 6 months for the skin to take its full form.

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