Gateway to Health


What is gynecomastia?

It is the name given to the increase in the amount of breast tissue in men due to the imbalance of estrogen and testosterone hormones. Gynecomastia usually affects one breast, but in some cases it can affect both breasts. Both breasts may be affected irregularly and reach different sizes. Teenage boys and older men can develop it as a result of changes in hormone levels. However, there are other reasons for the development of gynecomastia.

What causes gynecomastia?

Gynecomastia is usually benign, so it is not like cancer. Gynecomastia has been associated with changes in many hormones. In most cases, the cause is unknown, but it is usually caused by changes in female hormone (estrogen) and male hormone (testosterone) levels.

This disease can be observed in newborn babies for a short time. This is because the mother's estrogen remains in the baby's blood for some time after birth. Gynecomastia is not associated with breast cancer. It is rare for men to get breast cancer.

Gynecomastia can also occur as a side effect of some drugs. The use of illegal drugs such as anabolic steroids, heroin or marijuana is also known to cause gynecomastia.

Some diseases and medical conditions given below can also cause gynecomastia.

  • Liver diseases
  • kidney disease
  • Obesity
  • Lung cancer
  • Tumors of the adrenal gland or pituitary gland
  • Testicular cancer
  • Congenital disorders (congenital disorders)
  • thyroid disorders
  • injury or trauma

Gynecomastia (breast enlargement in men) Symptoms

  • breast tenderness
  • Pain and soreness in the breasts
  • Nipple discharge in one or both breasts
  • One breast is larger than the other breast
  • Swelling in breast tissue
  • Lump feeling just below the nipple

How is gynecomastia diagnosed?

The specialist physician performs a detailed physical examination of the breast tissue, genitals and abdomen. In some cases, the physician may request some tests from the patient. The most important point in this regard is to differentiate gynecomastia from breast carcinoma. Thanks to the diagnostic methods, it can be easily distinguished from other diseases such as breast cancer and breast abscess, and the correct treatment is provided.

How Long Does the Surgery Take?

The duration of the operation varies from person to person, but it takes 1-2 hours on average.

How is the surgery done?

Gynecomastia may develop due to adipose tissue, mammary gland tissue or both. In gynecomastia with adipose tissue problem, only liposuction (fat removal) surgery is sufficient, while in other cases, excess fat and breast tissues are removed with a half incision made around the nipple.

After Gynecomastia Surgery

After the operation, a special corset is used for 4-6 weeks in order to prevent the accumulation of fluid and blood under the breast and to make a controlled pressure on the breast skin to be smooth. This corset can be easily hidden under clothing and is not visible from the outside. After the surgery, patients should sleep in a sitting position, forceful movements with their arms should be avoided, blood thinners and foods should not be consumed. Although it varies from person to person, normal life returns after an average of 6-8 days. 4-6 weeks should be waited for sportive activities.