Gynecomastia is a condition of growth of the mammary gland in men. Although it is mostly a benign condition, it can rarely occur as a side effect of several diseases (such as hormonal, tumoral diseases) or medications used. For this reason, certain tests and examinations are performed before deciding on surgery. If deemed necessary, certain consultations are requested. People who do not have any underlying causation and are uncomfortable with their appearance may be candidates for gynecomastia surgery. Gynecomastia is classified by grading according to the amount and content of increased breast tissue and the accompanying excess skin. This classification gives us guidance on the technique of the operation we will perform. Fat removal only with the help of a cannula is sufficient for some patients while incisions are required for some others, and for some, longer incisions are required to remove excess skin. The most appropriate method for you will be explained in detail during your examination.

PREPARATION FOR SURGERY

Detailed examination of the patient is the first and most important step. Along with the detailed examination, it is necessary to discuss and decide together with the necessary branch medical attendants such as a general surgeon, oncologist, radiation oncologist, radiotherapist and pathologist. The general condition of the patient, accompanying diseases, medications used, and whether expectations are realistic are the most important points for us. In the detailed examination, the most appropriate method for the patient is decided. Detailed examination together with the anesthesiologist is a must for pre-operative preparation. If the patient smokes, it is recommended to stop 3 weeks beforehand, and blood thinners to be discontinued before the specified time. Preoperative planning is an important step for surgical preparation.

METHOD OF SURGERY

The most appropriate surgical method for the patient is decided, therefore, preparation and planning are made. Sometimes fat removal from small holes (liposuction) is sufficient, while sometimes additional 1-2 cm incisions are required from the nipple. If the patient has more advanced gynecomastia, additional incisions may be required, including around the nipple and sometimes at the lower side.

If necessary, drains can be placed to prevent blood accumulation inside.

HEALING PROCESS

Patients are generally treated by being hospitalized for 1 night after surgery. According to the procedure performed and taking into account the general condition of the patient, the patient can also be treated by hospitalization overnight after surgery. In this process, necessary treatments are performed, and it is recommended to lie down keeping the body part elevated. The pain is not too severe, usually at a level that can be relieved with painkillers. Fixated drains are removed in a day or two. For the most part, sutures are not removed because the stitches are under the skin. After discharge, bathing is usually allowed after the 3rd day. It is recommended to wear appropriate medical corsets for a while. As with any surgery, there is a risk of complications during gynecomastia surgeries.