¬ Gynecomastia Surgery

Condition of enlarged breasts in men is called gynecomastia. Gynecomastia condition arises especially in the puberty period. Most cases disappear over time. Some men may still have the condition. Having the over weight scale also contributes to gynecomastia. This is a natural process. Occasionally in several diseases associated with medications used gynecomastia may develop. It may be present unilaterally (one side) or  bilaterally (both sides ). Sometimes when dressed slimfit gynecomastia may be visible and cause disfigured appearance. For those who would like to swim and do sports under tight clothes is a stressfull process. To hide this condition they often tend to wear comfortable t-shirts and clothes. Therefore this may impair self-confidence. In these cases surgical treatment indication emerges. 

Pre-op Initial Consultation 

If you are considering gynecomastia surgery you should seek an experienced plastic surgeon and consult with the doctor.In this consultation you should clearly tell your complaints and expectations with this surgery.

Over the course of consultation  your doctor will evaluate the  size, shape,  asymmetry , deformity, skin elasticity  of your breasts and chest largeness then he/she will take notes for necessary  calculations . Considering your expectations and examination findings your doctor will offer you the best and tailor made option and give you detailed information that includes what should you realistic ally expect from the surgery. Also, your doctor will explain the surgical method, anesthesia ,the place of operation room(OR), complication of risks associated to the procedure and pre-op instructions. Before deciding  gynecomastia surgery ask all the questions you have in your mind and until you get satisfactory answers and fully comprehend . In this consultation you may also get a quote. Based on the whole information you got you may finalize  your decision.

Once you decide to go with the procedure you will be asked  to have several tests done . If  test results are normal, the surgery time, date  and  place will be  determined.

The surgery date

Following registration in the hospital you will be smoothly transferred to your room. Doctor will make your surgery plan and then anesthesist will inform you about the anesthesia and ask related  questions. Before the operation, a sedative  injection that will soothe and encourage you, will be administered.   It will help you relieve the anxiety and the  excitement related to surgery which is very common.

In the operating room anesthesia will be applied. Gynecomastia surgery can be performed under general anethesia. During the surgery under general anesthesia you will be sleeping. Your doctor will offer you the best choice that fits your case.

How is gynecomastia surgery or male breast reduction surgery performed? 

In gynecomastia different techniques are used.While determining the technique the state of breast tissue is important. Breast male is composed of glandular and fatty tissue. If there is excess fatty tissue bilaterally lipsuction is performed on the breasts to treat gynecomastia. If there is significant amount of  glandular tissue as well as fatty tissue glandular excision is performed in conjunction with liposuction.

After liposuction below the dark contour of nipple half moon shaped incision is made and then gladular tissue which is the culprit for enlarging breasts is removed in a disc shape leading a normal breast size result.In this technique barely visible scar may remain. In the technique whereby both liposuction and glandular tissue excision used results are utterly satisfactory. If the gynecomastia is advanced and above all if the breast is sagging in addition to liposuction, glandular excision the skin tissue below the dark nipple area has to be removed to lift up the sagging breasts.  In this case  an insconspicous scar may remain on the surrounding of areola. Depending on your condition one of the three techniques is used  in the surgery.Personal factors and preferences are important while determining the technique.The best decision will be made after consulting with your doctor. 

After the surgery

When the surgery is finished you will be taken to your room. You will be checked here and necessary medications like painkillers and antibiotics will be given.Couple hours after the surgery you are allowed to eat liquid food. You will be asked to stand up and take a walk in short periods. Depending on your case you may be discharged on the same day or the following day. You should avoid exertion, bending your body, doing strenuous exercises and carrying heavy things.Resting bad for couple of days will help you manage initial healing. Because such activities may increase bleeding and swelling. The second or third day dressing is renewed.You may be allowed to take a shower third day post-op.You should wear the garment for 3 weeks. This garment reshapes breasts and help dissipate swelling. 

In male breast reduction surgery often sutures are not removed as they are absorbable.  

When will resume daily routine?

Initial healing is very fast after male breast reduction surgery.Depending on your job you may return to work within 3-5 days. For three weeks you should avoid exercises that works chest muscles. There may be some limitations in your activities and mild pain which common. Pain goes off with simple pain killers. After a week you may begin easy exercises. You should refer to your surgeon for severe pain.

Is gynecomastia surgery result permanent?

Gynecomastia surgery result is permanent. Male breast reduction changes the appearance dramatically and boosts self-confidence. Satisfaction with the surgery ranks high among other surgeries .Patients leave the emotional problems and limitations on their behind like wearing tight t-shirts and swimming in the pool or sea.They fast gain their self-confidence. You retain permanent result as you maintain your ideal weight. providing the most satisfactory results among others. 

Keeping contact with your surgeon

Your surgeon will advise you on follow up visits to check periodicaly and see the results in the long run. During initial healing period, follow up visits are important to avoid potential problems and resolve them.For further questions and concerns you are always encouraged to ask your surgeon after the surgery. Your surgeon will support you at every step of surgical process.