What is Gynecomastia?
Gynecomastia is a condition in which breast tissue in men grows more than normal. This condition, popularly known as male breast enlargement, usually occurs as a result of hormonal imbalances. Increased levels of estrogen (female hormone) or decreased levels of testosterone (male hormone) can lead to enlarged breast tissue. Gynecomastia is especially common during puberty but can occur at any age. It is usually a harmless condition, but in some people it can cause psychological and social distress.
What is Pseudo Gynecomastia?
False gynecomastia is a condition in which the growth in the breasts is not caused by hormonal changes, but by excess fat tissue accumulated in the body. Unlike true gynecomastia, this type, which is especially seen in obesity-prone individuals, is caused by the growth of adipose tissue, not the mammary glands. False gynecomastia can usually resolve spontaneously with weight loss. However, it should be evaluated by a specialist for a correct diagnosis.
What are the Symptoms of Gynecomastia? How to Understand?
The most obvious symptom of gynecomastia is the growth of breast tissue in men. However, not only growth, but also the following symptoms can be observed:
Tenderness in the breast area: Pain or discomfort may occur when touched.
Swelling of the nipple: You may notice a slight swelling in the center or around the breasts.
Skin changes: There may be changes in skin color around the nipple.
Unilateral growth: In some cases, only one breast may be affected.
When these symptoms are noticed, it is important to consult a doctor to identify the underlying cause. Especially when rapid growth or hard masses are felt, it becomes critical to get an expert opinion.
What Causes Gynecomastia?
There can be many causes of gynecomastia and they are often related to hormonal changes:
Hormonal Imbalances: Elevated estrogen levels or decreased testosterone levels can lead to gynecomastia.
Puberty: During puberty, temporary gynecomastia may occur due to fluctuating hormone levels. It usually resolves spontaneously within a few years.
Drug Use: Some medications (steroids, antidepressants, heart medications, etc.) can cause gynecomastia.
Liver or Kidney Diseases: Diseases in these organs can disrupt the hormone balance and cause growth in breast tissue.
Alcohol and Drug Use: Excessive alcohol consumption and some drugs (such as marijuana) can cause hormonal changes.
Tumors: Although rare, tumors in the testicles or adrenal glands can cause gynecomastia.
How Does Gynecomastia Go Away?
Treatment of gynecomastia varies depending on the cause and severity of the condition:
Spontaneous Relief: Gynecomastia, especially during adolescence, may resolve spontaneously over time.
Drug Treatment: In cases of gynecomastia caused by hormonal imbalance, drug treatment can be applied under the control of a doctor.
Lifestyle Changes: In case of false gynecomastia, losing weight and exercising regularly can solve the problem.
Surgical Intervention: In cases of persistent gynecomastia, especially if the growth is advanced and the person is uncomfortable, surgical operation may be preferred.
What is Gynecomastia (Male Breast Reduction Surgery)?
Gynecomastia surgery is the surgical reduction of enlarged breast tissue in men. This surgery is performed by removing fat tissue and, if necessary, the mammary gland. It offers a permanent solution for men who experience both physical and psychological discomfort. Surgical intervention is usually performed under local anesthesia and recovery can be achieved in a short time.
Who is Gynecomastia Surgery Applied to?
Those who have permanent gynecomastia problem: Especially if gynecomastia has not disappeared spontaneously after puberty.
Those with psychological discomfort: Individuals who experience self-confidence problems due to body image.
Those who feel physical discomfort: Those whose daily life is affected due to sensitivity or pain.
Those who do not improve despite lifestyle changes: Cases that do not improve with diet or exercise.
Before the surgery, the person must be in good general health and approved by the doctor.
How is Gynecomastia Surgery Performed?
Gynecomastia surgery can be performed with several different methods:
Liposuction: In the case of false gynecomastia, liposuction is used to remove only fat tissue.
Surgical Excision: Used when the mammary glands need to be removed.
Combination Method: If both fat and mammary glands are to be removed, liposuction and excision can be performed together.
A few days of rest is usually required after surgery. Swelling and bruising are normal and decrease over time.
What are the Advantages of Gynecomastia Surgery?
It offers a permanent solution: The risk of regrowth of breast tissue after surgery is very low.
Increases self-confidence: It provides a great relief for men who experience shyness in social life due to aesthetic concerns.
Pain and discomfort are eliminated: Sensitivity in the breast area disappears after surgery.
Fast recovery process: You can usually return to daily life within a few days.
Gynecomastia surgery is a safe and effective solution when performed by an experienced surgeon. However, like every surgical intervention, it is important to remember that this surgery has risks.
