Gynecomasty

   Gynecomastia is the situation of enlarging of breast like women in men. It may occur due to effect of certain medicines or hormonal imbalance. There are three main types: Glandular, fatty-glandular, simplistic fatty. Real breast tissue provides enlarging in glandular type and fatty tissue cells provides in fatty type. Liposuction is applied and removal as surgical are applied together in glandular type. If massonly consists of fatty tissue then only liposuction can be applied. In case mass reflects excess enlarging and ptosis occurs in breast then removal of excessive part of skin may be necessary.

   Depending on hormonal changes it is seen in men between 13-15 ages or in older men. This situation automatically recovers in one year in %90 of small boys. At the other hand gynecomastia can be seen again as hormonal cycle changes in old ages. Besides, other situations must also be examined that causes gynecomastia. Among these: hepatitis, cirrhosis, lung cancer, lung diseases, cancer of certain organs, thyroid gland diseases, testis diseases, usage of hereon or other drugs, gaining wait or usage of steroid for developing muscles and usage of certain medicines can be included. It will be useful to examine the mass with ultrasound. Thus it can be possible to determine whether the mass consist of only fatty tissue or not.

   Asymmetry (difference between two sides), hematom (hemostasis under skin), seroma (effusion under skin), nipple necrosis (necrosis) and infection may occur. But tissue loss and infection risk is very low. Antibiotic is used after surgery for protective. Breast corset is used for pasting breast skin and decreasing liquid loss that will occur.

   Generally, incision is made around of breast as semi-circle and then reached to mass. Surgery can be made both under local or general anaesthesia. If liposuction will be made one or two incision that is 0.5 cm is made near axilla. The mass is removed from this point with liposuction cannula depending on vacuum. In this situation very few or no sequela will stay. A certain sequela may remain in our patients who have excessive skin depending on surgery as certain amount of skin must be removed such patients. The amount and form of this sequela is related with the size of breast.

   Corset is worn on dressing immediately after surgery for pressure. Corset must be worn at least 2 weeks and preferably 4 weeks. If liposuction was made swellings will recover approximately in 4 weeks. Breast skin will past to chest-wall.

   Breast-wall may not completely be smooth in some cases especially when skin is in excessive amounts. In this situation additional surgical intervention may be necessary for removing skin excessiveness after 6 months. Sutures are removed approximately 10 days later. Patient can return normal activities in 3-4 days.