In males, female type breast growth is called gynecomasty. It is common today in men of all ages. The estrogen hormone is the most important factor affecting the shape of the breast both in women and men. This hormone is the predominant hormone in the body and allows the mammal to develop feminine characteristics. Testosterone hormone is dominant in men and there is estrogen hormone. Any decline in this hormone balance and an increase in the amount of estrogen in the male causes gynecomasty.

What are the main conditions in men with impaired hormone balance?

• Physiological, ie, due to hormones that naturally increase during adolescence
• Depending on the diet: Gastrointestinal hormones and nutritional disorders are associated with the resulting obesity
• It depends on the use of some medicines: Antifungals (Ketoconazole), Spironolactone, Antibiotics (Metronidazole), Antacids (Cimetidine), Medicines used in prostate cancer or hyperplasia (flutamide, finasteride etc.), AIDS medicines (Efavirenz) (diazepam), tricyclic antidepressants, heart failure (Digoxin) drugs.
• Chronic liver disease; the hormone estrogen is destroyed in the liver, and the deterioration of the function of this organ for any reason causes an increase in unbreakable estrogen.
• Alcoholism and drug use also cause liver damage, causing gynecomastia.

Who can have gynecomasty surgery?

Since the adolescence, anyone who is in good health status for surgery can be operated on.

How is gynecomasty operation done?

When planning, we determine which level of gynecomasty is and decide what operations to perform during the operation.
Gynecomasty Levels

• Mild degree: The feminine appearance in the breast is not noticed, there is little varve, there is no loss of sagging and elasticity.
• Moderate: There is growth in the amount that will realize the female feminine appearance, but there is no loss of derived sag and elasticity.
• Advanced degree: Breast size and turkish sag, loss of elasticity. Liposuction is sufficient for mild and moderate gynecomasty.

It is inserted with special cannulas from one millimeter cuts and pulled with vacuum and excess oil and breast tissue. Together with the advanced gynecomastoid breast tissue, opening the skin and reducing the nipple tip. Post-operative healing and care: In mild and moderate gynecomasty operations, healing is faster, 3 weeks of adjustment is achieved, 3 weeks of corset support, 3 weeks are required. Because of the more advanced gynecomasty incisions and sutures, the healing process is somewhat longer.