What is Gynecomastia (Male Breast Growth)?
Gynecomastia is the growth of the male breast similar to a female breast. Breast tissue in men consists of adipose tissue and mammary gland (parenchyma) as it does in women. Breast growth can be due solely to an increase in adipose tissue, solely to an increase in parenchyma, or may be due to an increased amount of both adipose and parenchyma. Which tissue is increasing can be determined with a breast ultrasound. Breast enlargement in men, is seen due to the hormonal changes, puberty, aging, the excessive use of alcohol, liver disease, and the usage of some medicines.
How is Gynecomastia (Male Breast Growth) graded?
Gynecomastia is subdivided into 3 grades from simple to severe. In Mild gynecomastia (Grade 1) there is excess tissue growth without excess skin. In moderate gynecomastia; an excess amount of skin together with tissue growth has occurred. In severe gynecomastia there is both excessive tissue growth, as well as breast sagging, and an appearance of a female breast has occurred completely.
When is Gynecomastia (Male Breast Growth) surgery performed?
The breast tissue in males grows somewhat during puberty and shrinks after 1-2 years. Therefore, surgery should not be performed immediately on anyone with growing breast tissue. Gynecomastia surgery is carried out on people who have completed puberty (around 16-17 years), and who have been diagnosed with gynecomastia for at least two years.
How is Gynecomastia (Male Breast Growth) surgery carried out?
Gynecomastia (male breast enlargement) surgery, is carried out under local anesthesia or general anesthesia, depending on whether it is mild or severe. If there is only an increase in adipose tissue, liposuction application will be sufficient, if the parenchymal increase is causing the gynaecomastia, then this would need to be removed surgically. Sometimes you may need to do both methods simultaneously. If Gynecomastia has become extreme and skin sagging has occurred, then in addition to the breast being drained, the excess skin will necessarily be removed.
Does Gynecomastia (breast enlargement in males) surgery leave a scar?
If only liposuction is to be carried out according to the characteristics of the gynecomastia then the surgery is carried out through a 3 millimeters incision towards the under arm on each side, and there are no scars left on the breast. If the gynecomastia tissue is also to be removed surgically, an incision is made including the bottom half of the colored part of the nipple, and only a very vague scar is left here, this scar does not cause a visual problem. However, if there is a noticeable sagging skin, and the breast has really grown to resemble a female breast, then surgery similar to female breast reduction surgery is performed and a scar is left in the surgical region.
Is Gynecomastia (male breast enlargement) surgery painful ?
Following gynecomastia surgery, in general there is no pain which can cause discomfort to the patient. There can be some pain in the form of mild discomfort, however this is also remedied easily with pain medications. People who have undergone gynecomastia surgery can easily return to their everyday activities within 2 or 3 days.
What should be cared for after gynecomastia (male breast enlargement) surgery?
After surgery, you will usually be discharged from the hospital the same day. After 3 days, you are allowed to take a bath. You will be required to wear a gynecomastia corset or pressure bandage over the breasts for approximately 3 weeks. I prefer to use a pressure bandage over the use of a corset for the 3 weeks. Because when the edema decreases the corset can become loose and ineffective.