Gynecomastia surgery is a medical procedure meant to correct the excess development or enlarged breast tissues in men or even boys. This condition of overgrowth of breast tissues occurs due to the imbalance in two hormones, testosterone, and estrogen. Gynecomastia can cause breast pain and discomfort in both young and adult males. One or even both breasts can be affected. In recent times, the plastic surgery community has given much attention to Gynecomastia, and people suffering from it now depend on surgical treatment as a permanent solution.
Gynecomastia is measured using grades, and these grades reflect the type of condition by revealing the amount of fatty tissues or excess skin in the male breasts. Below are four different grades of Gynecomastia:
Grade 1: The first grade is when the overgrowth tissue is surrounding the areola — thus the colored area around the nipple.
Grade 2: The excess breast tissue spreads or goes beyond the areola, although not visible.
Grade 3: The breasts have a feminine look, as the overgrown tissue has extended throughout the whole breast area. Other people can even notice.
Grade 4: This is whereby the male’s breast looks exactly like a female’s breasts. The excess tissue is very visible, and cannot be hidden.
Gynecomastia Ideal Candidates
Both young men and adults can be suitable candidates for this treatment. Any male who feels like their breasts are too large can make good candidates. However, it is highly recommended that appropriate individuals for this surgery should be physically healthy, and have no medical conditions that can disturb the healing process.
Before Gynecomastia Surgery
As with any other surgery, the safety and outcome of the Gynecomastia surgery depend on the patient’s preparation candidness. The surgeon will carry out the physical examination of the excess breast tissue of the patient before the surgery commences. Depending on the complexity and the Gynecomastia grade, the surgeon may also order a Magnetic Resonance Imagining (MRI) as well as a biopsy of the breast tissue. Since Gynecomastia may be a symptom of testicular cancer, the patient may also be required to take a testicular ultrasound test.
In most cases, patients are advised to take a break from smoking, taking Aspirin, herbal supplements as well as anti-inflammatory drugs. This is done to avoid the risk of bleeding and lengthening the healing or recovery process.
During Gynecomastia Surgery
This procedure is carried out in the Surgeon’s office, at the surgical facility and the average duration of the procedure is two to three hours. For the patient’s comfort, the surgeon will administer medication to the patient. General anesthesia and IV sedation are the two options, but it is up to the surgeon to select the best medication. Gynecomastia surgery is performed using two techniques, thus Liposuction or Excision. The type of technique used will also depend on the Gynecomastia grade, and at times, these two techniques are used both on the same patient.
Liposuction Technique: Liposuction also has different techniques to eliminate gynecomastia. This procedure is performed when gynecomastia is as a result of the enlargement of the fatty tissue in medicine, this type of Gynecomastia also known as Pseudo-Gynecomastia. Several small incisions are made, and a thin tube (cannula) is inserted to drain off the fatty tissue. During the course of the surgery, the implanted cannula is moved from side to side in a cautious manner, to release the excess fat from the body.
Excision Technique: This technique is designed to address gynecomastia caused by excess or saggy skin. The procedure is performed to those male patients whose nipple or areola has dropped downwards. Excision procedure will, therefore, reposition the nipple to a normal point. For this to be done, an arc-shaped incision is made close to the nipple, followed by removal of unwanted loose skin from below, or above the nipple. An arc-sharped incision is not the regular, incisions patterns differ from surgeon to surgeon.
Recovery Process of Gynecomastia Surgery
After the surgery, a tiny little tube may be placed to drain any fluids that may collect under the skin. Swelling will be minimized by applying bandages or dressings to the incisions. It’s essential to desist from any physical or vigorous activities for 3 weeks as they may disrupt the healing process. Although many men are expected to return to work after 7 to 10 days, the patient is expected to be completely healed after two to three months.
Side Effects of Gynecomastia
There are potential side effects to consider before one goes through the Gynecomastia surgery. These side effects include infection, fluid accumulation, poor wound healing, excessive bleeding, scarring, and blood clots. However, these side effects will be discussed in detail before the whole procedure is performed.
Scars of Gynecomastia Surgery
Any gynecomastia surgery involves incisions, and from incisions, scars are birthed. Some scars may be seen while others may be invisible.
Gynecomastia Surgery in Turkey
Gynecomastia surgery in Turkey is temptingly affordable to most of the foreign visitors, particularly Europeans and American patients. Foreign medical visitors save from 60 to 70% on their treatment, and they enjoy a favorable money exchange rates.
This content is created and edited by Magical Clinic Medical Editors in February, 2019.