Gynecomastia: Structurally, the male breast is not much different from the female breast. The only reason why the male breast is small is that there is not enough female hormone in the male body.

However, in some cases, the male breast begins to grow on its own and almost takes the form of a female breast. This is a disease and is called gynecomastia in medicine.


Gynecomastia, defined as the overgrowth of male breast tissue; may be due to many reasons. Physiopathologically, an increase in estrogen in the blood or an increase in estrogen-like structures are found to be guilty. However, the cause of gynecomastia is often idiopathic, that is, gynecomastia without any cause.

– Disorders with low testosterone; Klinefelter’s Syndrome, removal of testicles – Disorders with increased estrogen; testicular tumors, adrenal gland tumors – Obesity – Kidney failure and cirrhosis – Hemodialysis – Hyperthyroidism; In thyrotoxicosis, there may be gynecomastia associated with high serum estradiol level – Hypothyroidism – Liver tumors – Hermephroditism – Long-term use of drugs (alcohol, amphetamine, cimetidine, tricyclic antidepressants, mariahuana, bodybuilding anabolic steroids, etc.) – Trauma to the testis and radiation can cause testicular hypofunction. – Adult mumps infection can lead to testicular atrophy, hypogonadism and gynecomastia. – Leptomonas infection can directly cause gynecomastia. – Spinal cord injury may cause testicular dysfunction and in 10% of cases, gynecomastia. – It can be seen after a bad diet. Sometimes, very thin people may have gynecomastia while returning to normal weight. – In lung cancers, there may be gynecomastia due to beta hCG production of the tumor. – Transient gynecomastia is reported in HIV infection. – Rarely, there is gynecomastia primarily caused by the conversion of androgens to estrogen (less than 10 cases have been reported), but the nature of this conversion is unknown. – Alcoholic men may have 20% gynecomastia.

Gynecomastia Surgery

Since gynecomastia can be caused by various reasons, some tests should be done before the decision of surgery is taken. A drug or hormonal imbalance used by the patient can cause gynecomastia. In rare cases, discontinuation of the drug used or hormonal treatment depending on age may make surgery unnecessary. Performing these tests is essential to prevent problems such as regrowth of breast tissue after surgery. In gynecomastia surgeries, fat or breast tissue used to be cut and removed with the help of a tool such as tweezers, thanks to the developing technology, now this layer can be pulled out by inserting a small tube into the fat layer in the breast. (Liposuction)

Before surgery

Since some drugs can interact with anesthesia or have side effects, the patient should inform his doctor about all the drugs he is using before the surgery. In particular, aspirin and its derivatives should be discontinued at least one week before the operation. Since smoking negatively affects wound healing, it should not be used for a long time before and after surgery. Before the operation, cold and sore throat complaints should be reported to the doctor. Eating and drinking should be stopped 6 hours before the operation. The doctor may order some tests to decide whether the surgery should be performed with local or general anesthesia. A companion may be needed to assist the patient after the surgery.

Order of surgery

The doctor gives the necessary drugs and prepares the patient for surgery. After the patient passes out, the doctor draws a surgical map on the chest showing where the surgical incisions will be made and where the tissues will be removed. Afterwards, a half-moon-shaped incision is made in the darker area than the skin, called aerol, and the fat and tissues are removed from here. The duration of the operation varies between 1 and 3 hours, depending on the degree of gynecomastia.

After surgery

After the surgery, the chest is wrapped with bandages. Depending on the doctor’s advice and the anesthesia method, the patient may be discharged on the same day or remain under observation in the hospital for 1 day. Thanks to painkillers, no noticeable pain is felt. The use of antibiotics for the period determined by the doctor is important to prevent infection. A few days after the operation, the patient can return to work without moving his arms too much and without tiring himself.

Body Shaping

Techniques that promise a firmer body with interventions that do not require surgical operation, reduce the fat cells in the desired areas and create both a slimming and a younger silhouette. Anyone who is resistant to diet and exercise, complains of excess fat, and body lines that have lost their elasticity, can benefit from technologies that act with different energies such as ultrasound and radio frequency. Whether you can benefit from systems such as Zeltiq, SculpSure, UltraShape or VelaShape, which reshape the abdomen, hips, back and legs, increase the tightness of the skin in these areas or eliminate regional excesses, is determined according to your expectations and needs.