gynecomastia surgeryIt is performed in cases of benign excessive breast development in men. According to studies, one out of every three men has gynecomastia. Gynecomastia can be observed in infancy and old age. In addition, it most often occurs during adolescence.
Gynecomastiais not a health hazard. However, it can cause distress and embarrassment in people. If people have long-term gynecomastia, it is not possible for this situation to end on its own. In such cases, medical treatment is required. If necessary, surgical intervention can also be performed.
What are the Causes of Gynecomastia?
gynecomastia status It occurs in cases of imbalance or irregularity of testosterone and estrogen hormones. If the amount of testosterone in the body decreases and the amount of estrogen increases, gynecomastia may occur. These hormonal changes can have various causes. Some causes are natural and there is no other underlying cause. Other gynecomastia situations may occur for different reasons.
Natural Hormone Changes
Testosterone and estrogen have the ability to control sex characteristics in humans. The testosterone hormone helps determine various male characteristics such as muscle mass and body hair. Estrogen helps control female characteristics such as breast enlargement. Contrary to popular belief, men also secrete some estrogen hormone. Gynecomastia occurs when the estrogen-testosterone balance is disrupted in men.
gynecomastia in babies is a frequent occurrence. More than half of male babies can be born with large breasts due to the estrogen passed to them from their mothers. Swollen breast tissue decreases spontaneously in a period of two to three weeks after birth.
gynecomastia in adolescence It occurs due to hormonal irregularities that occur during this period. In the vast majority of cases, the swollen breast tissues go down spontaneously within six months to two years.
gynecomastia in adults It is observed between the ages of 50-69 years. This occurs in one in four men in this age group.
Use of Drugs and Alcohol
· amphetamine
· Alcohol
· marijuana
· Heroin
· The use of substances such as methadone can cause gynecomastia.
Drugs Causing Gynecomastia
Many drugs can cause gynecomastia. These;
· Various heart medications, such as calcium channel blockers
· Anti-androgen drugs that prevent prostate enlargement or are preferred in the treatment of prostate cancer
· Chemotherapies
· Anabolic steroids and androgens
· Some antibiotics and ulcer medications
· Various drugs used to treat AIDS
· Antidepressants in the tricyclic group
· Various anxiety medications
Health problems
Many health problems cause gynecomastia by disrupting the normal balance of hormones. These;
· Tumors formed in organs such as testicles, pituitary gland and adrenal can cause imbalance of sex-determining hormones.
· Klinefelter syndrome or pituitary insufficiency can cause health problems that lead to impaired testosterone production.
· Gynecomastia is a frequently encountered condition in hemodialysis patients.
· Excessive secretion of thyroid hormone causes gynecomastia.
· When the body is too low, the testosterone level drops. However, the estrogen hormone is not affected by this situation. In this case, gynecomastia is observed.
· Hormonal imbalances occur in liver problems.
Herbal products
Gynecomastia may occur due to the low estrogenic activities of lavender and tea tree oils in soaps, shampoos or lotions.
Who is at Risk of Gynecomastia?
· Those with liver, kidney or thyroid disease and those with Klinefelter syndrome
· Adolescents
· Those who use androgens and steroids to increase athletic performance
· The elderly are at risk for gynecomastia.
Symptoms of Gynecomastia
In breasts;
· Precision
· excessive swelling
· Pain
· It can manifest itself with different symptoms such as fluid coming from one or both nipples.
How is Gynecomastia Diagnosed?
Diagnosis of gynecomastia For this, both breasts should be examined manually. A hard mass is present in the back of the nipple. These examination findings need to be confirmed by USG. Examination and USG findings are extremely important for diagnosis and planning of treatment.
What are the Gynecomastia Treatment Options?
Gynecomastia treatment Before the procedure, patients should be checked for any other underlying hormonal disorder. If people suspect that they have gynecomastia, they should first go to an endocrinology doctor.
Gynecomastia treatment options differ depending on the type of gynecomastia. There are many different classifications of gynecomastia. The course of gynecomastia and response to treatment in adolescents Nydick classification is measured with. In this classification, the type of gynecomastia is determined based on the size of the glandular tissue discs under the brown ring on the nipple. If the disc diameter is less than 4 cm, it would be more appropriate to inform the patients in adolescents and this situation would go away on its own. If the complaints of the patients are longer than 4 years or the clinical findings that disturb the patient increase, there is an indication to start the treatment. When the discs in the patients are in the range of 4-6 cm, medical treatment should be applied. If the disc diameter is larger than 6 cm, surgical intervention is recommended.
Medical treatments depend on the age of the patients, medical reasons, hormonal level. Medications used in medical treatment begin to show their effect in a short period of two weeks. It is an important issue to follow up the patients every month in drug use. Drug treatments will not show any benefit in people who have gynecomastia for more than a year.
How is Gynecomastia Surgery Performed?
Surgical intervention for gynecomastia It draws attention as the most effective and precise method. The procedure to be performed is decided after the examinations made by the surgeons. Interventions against different classifications of gynecomastia also differ.
glandular type gynecomastia In the case of serous breast tissue, there is more. In this case, this hard tissue should be surgically removed.
oily type gynecomastia In this case, the adipose tissue is much more and it is possible to be treated only with liposuction.
mixed type gynecomastia In the case of glandular tissue and adipose tissue excess is found. Surgical intervention and liposuction are applied together.
In another classification case, the size of the breast tissue and the evaluation of excess skin are performed. This procedure is determined according to the type of surgical intervention.
After Gynecomastia Surgery
After gynecomastia surgeryvaries depending on the technique of the surgery. If vaser or liposuction treatment is deemed appropriate during the operation, the healing process will also be quite comfortable. In the formation of gynecomastia due to adipose tissue, people will get effective results after a period of approximately 3 weeks after vaser and laser liposuction applications. In addition, it is possible to do many activities in a comfortable way.
In cases where surgical intervention is required, operations are mostly performed under general anesthesia. Sometimes, there may be cases where local anesthesia is preferred. People can be discharged the same day after the operation. There may also be cases where people are kept under observation for one day due to general anesthesia. Situations like this are not uncommon.
Gynecomastia Surgery in Turkey
Since gynecomastia surgeries are extremely advantageous in Turkey, many people from abroad prefer to have surgery here. Due to the high foreign exchange rate, gynecomastia surgery is extremely affordable for those coming from abroad. In addition, the procedures are always carried out by specialist doctors and in equipped clinics. gynecomastia surgery in Turkey You can contact us to get detailed information about.
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