Gynecomastia

Gynecomastia, the enlargement of male breast tissue, occurs due to hormonal imbalances, specifically between estrogen and testosterone. While this growth is abnormal, it is benign. In some men, gynecomastia appears only on one side of the chest, while in others, both sides may be affected. The size and shape of the breast tissue may also vary, sometimes resulting in asymmetrical male breasts.

Although gynecomastia is often associated with puberty, it can also affect newborns and older men. Medically, this condition is not considered a serious health problem. However, it can be physically and psychologically uncomfortable, affecting confidence and social life. Some men may experience pain, but more commonly, the issue is related to self-esteem and body image concerns. Teenagers experiencing gynecomastia may face additional psychological challenges, making early consultation important.

Causes of Gynecomastia

Gynecomastia is primarily caused by hormonal imbalances, specifically low testosterone or high estrogen levels. Other contributing factors include:

1. Natural Hormonal Changes

• Males naturally have small amounts of estrogen, which regulates tissue growth in the breasts.
• Hormonal surges in puberty can cause temporary gynecomastia, which resolves in about 6 months to 2 years in 90% of cases.
• In adults, especially men aged 50-69, gynecomastia is common, affecting roughly one in four men.

2. Medication UseCertain medications can trigger male breast enlargement:

• Anti-androgen drugs for prostate issues
• Anabolic steroids and androgen supplements
• HIV/AIDS medications
• Some anxiety medications
• Tricyclic antidepressants
• Certain antibiotics
• Ulcer medications
• Chemotherapy drugs
• Calcium channel blockers for heart conditions

3. Substance Use

• Long-term alcohol or recreational drug use can disrupt hormonal balance and contribute to gynecomastia.

4. Medical Conditions

• Hypogonadism or Klinefelter syndrome
• Tumors in organs like the testes, adrenal glands, or pituitary gland
• Hyperthyroidism
• Kidney or liver insufficiency, including cirrhosis
• Malnutrition or prolonged fasting

5. Cosmetic Products

• Some skincare, lotions, soaps, and shampoos contain small amounts of estrogenic activity, which may contribute to breast tissue enlargement with consistent, long-term use.

Who Is at Risk?

• Teenagers undergoing puberty
• Men over 50
• Users of anabolic steroids or androgens for performance enhancement
• Patients with liver, kidney, or thyroid disorders
• Men with Klinefelter syndrome

Symptoms of Gynecomastia

Gynecomastia can present differently in each individual, but common signs include:

• Swelling of breast tissue
• Pain or tenderness in one or both breasts
• Enlarged nipples or discharge from the nipples

Types of Gynecomastia

Gynecomastia is generally classified into three types:

Lipomatous Gynecomastia (Fatty Type)

• Predominantly excess fat tissue

• Typically treated with liposuction

 Glandular Gynecomastia

• Firm glandular tissue dominates

• Usually requires surgical excision

Mixed Gynecomastia

• Combination of glandular and fat tissue

• Treatment often involves surgery plus liposuction

Treatment Options

Before treatment, hormone levels and underlying causes must be assessed. Depending on the type and severity of gynecomastia, treatment options include:

• Liposuction: For mild fatty enlargement without excess skin

• Surgical excision: Required for excess glandular tissue or significant skin redundancy

• Combination surgery: For mixed gynecomastia to achieve natural chest contours

Risks of Gynecomastia Surgery

Like all surgical procedures, gynecomastia surgery carries some risks:

• Bleeding
• Infection
• Chest contour irregularities
• Anesthesia-related complications

Preventive measures, such as drain use and antibiotics, minimize these risks. Consultation with your surgeon before the procedure is essential.

Who Can Have Gynecomastia Surgery?

• Surgery is usually recommended for men 18 years and older
• Patients must be in good health with no conditions that would prevent surgery, such as blood clotting disorders or certain heart problems
• Gynecomastia in newborns or adolescents often resolves on its own; surgery is typically delayed until adulthood

Preparing for Surgery

• Discontinue blood-thinning medications like aspirin 10 days prior
• Inform your doctor about previous surgeries, current medications, and existing health conditions
• Stop smoking and alcohol consumption 10 days before surgery to improve healing
• Limit herbal teas with potential blood-thinning effects, or consult your surgeon about safe options

Why Choose Tekirdağ for Gynecomastia Surgery?Tekirdağ is conveniently located near Istanbul, making it accessible for international patients seeking male breast reduction in Turkey. Our clinic provides modern surgical techniques, personalized treatment plans, and experienced specialists to ensure natural, long-lasting results. Whether you are searching for gynecomastia surgery Istanbul or male chest contouring near Istanbul, we offer a safe and professional solution.

For men seeking a permanent solution to gynecomastia, surgery remains the most effective treatment. Before the operation, patients may need to undergo various preoperative examinations and tests to determine whether they are suitable candidates. The following provides a detailed overview of the gynecomastia surgery process:

• Gynecomastia surgery is performed under general anesthesia, ensuring that patients feel no pain, discomfort, or sensation during the procedure.
• The duration of the surgery may vary depending on individual circumstances but typically lasts between 50 to 90 minutes.
• During the operation, a small incision is made to access the male breast tissue.
• Excess breast tissue and skin are carefully removed through the incision to achieve a natural, masculine chest contour.
• Incisions are most commonly made under the areola, though alternative locations may be used depending on the patient's anatomy.
• In some cases, no glandular intervention is required, which can shorten the procedure time.
• Once the excess tissue is removed, the incision is sutured, completing the surgical process.
• Gynecomastia surgery can be performed on one breast or, if needed, both breasts simultaneously to ensure symmetry and optimal aesthetic results.

Key Advantages of Gynecomastia Surgery in Tekirdağ

• Tekirdağ's proximity to Istanbul makes it a convenient location for international patients seeking male breast reduction in Turkey.

• Surgery is performed by experienced specialists using modern techniques to ensure natural, long-lasting results.

• The procedure addresses both cosmetic concerns and psychological discomfort, helping men regain confidence, chest symmetry, and a more masculine appearance.

After gynecomastia surgery, many patients wonder what to expect during the recovery process. Here's a detailed guide to ensure a smooth and safe healing period after male breast reduction surgery:

• Patients may need to rest in the clinic for one day after the procedure.
• Once discharged, it is recommended to rest at home for a few additional days.
• Your doctor will prescribe medications to prevent infection, and it is essential to take them exactly as directed.
• Immediately after surgery, patients are required to wear a compression vest or chest corset. This garment is easy to use and supports proper healing.
• The compression garment should be worn continuously for at least three weeks. After this period, it can be removed at night, but should still be worn during the day.
• During heavier physical activities or exercise for up to six weeks, the chest corset should be worn for protection.
• It is normal to experience swelling, tenderness, and mild bruising in the chest area after the operation. These effects are temporary and usually begin to improve within 2-3 days, with complete resolution in about a week.
• Some patients may feel mild numbness, tingling, or a burning sensation in the chest area, which typically does not interfere with daily activities.
• Avoid swimming, saunas, hot tubs, and other similar environments for six weeks.
• Heavy exercises or strenuous activities should be avoided during the healing period.
• Protect the chest from any direct trauma or impact.
• Seek immediate medical attention if you experience high fever, unusual discharge, or foul odor at the incision site.

If you are struggling with gynecomastia and wish to restore a more masculine chest appearance, you can schedule a consultation today. At Op. Dr. Tuğba Dindar Clinic, located in Tekirdağ near Istanbul, we offer expert male breast reduction surgery with personalized postoperative care. Contact us for detailed information and to book your appointment.