Gynecomasty (Extraction of Mammal Tissue)

Gynecomasty, approximately, affects about 40 to 60 percent of men. It may affect single mamma or both. Even though some medicines and medical problems are related to over development of men breast, most of the cases have no known causes.

Surgical treatment: For adult men the only treatment is surgical. It is a simple action as a daily surgical operation under total or local anesthesia depending on the decision of the plastic surgeon or the patient. It does not require staying in hospital. The operation starts with liposuction, which is reducing the lipid and correcting the contours, and afterwards a 1-2 cm incision is performed on the nipple and oversized mamma tissue is taken. Some slim patients do not require liposuction but only mamma tissue extraction is performed for them. For the patients requiring so, the skin is lifted and excess skin is taken. The operation lasts 20-60 minutes. It does not require staying in hospital. Temporary purple spots, swollen areas, pain and sedation on the operation zone are the complaints of nearly all the patients in the post operative period. A great part of such complaints may be controlled with medication; and some of them recover in time. The patient may turn to his daily life within 1-2 days. The breasts may not enlarge again after the operation. Extraction of mamma tissue has no harm or side effect. On the contrary, the formation of the breast cancer, which may be seen in men too and develops more malign than the women breast cancer cases, is prevented.

The most suitable candidates for the Gynecomasty correction: The gynecomasty correction operation may be performed to any healthy and emotionally stable man of any age. The most suitable candidates for the operation are the persons having a tight and flexible skin which will take a new form according to the new contours of the body. The operation may not be recommended for the obese or over weighing men who have not tried to get rid of the problems with sports exercises or weight losing attempts in the first place. The persons consuming alcoholic beverages or using marijuana are also not suitable candidates for the operation. These consumed materials may cause gynecomasty together with anabolic steroids. Thus, before considering the operation, these persons shall be recommended to leave such habits for to see if the breasts will be narrowed or not. Medical term gynecomasty, i.e. oversize formation in male breasts, causes a feminine view. Gynecomasty is also known as the unperilous grow of mamma tissue in men.

Why It Happens? The gynecomasty in childhood era may cause from various tumors, hyperthyroid, medicines etc. grounds. However, the gynecomasty in adulthood has no certain cause in many of the cases. The breast cancer risk shall be kept in mind for the adult men. In addition, there are some special situations causing gynecomasty.

All the operations include some uncertainty and risk. Not many complications are seen if the breast narrowing operation in men is performed by a competent surgeon, but only some unimportant ones. However, every operation has certain risks. These are skin damage, excessive bleeding, and counter reaction against anesthesia, excessive liquid loss or accumulation. The procedure may cause apparent wounds, pigment change in breast area or asymmetric breasts or nipples. If the asymmetry is very apparent, a second procedure may be performed for to take the excessive tissue. The temporary effects of the breast narrowing are losing senses in the breast or formication.

Planning your operation: The first consultation with your surgeon is important. Your surgeon will require your complete medical history; thus, you shall check your previous medical records and be ready to present such information. In the first place, the surgeon will control your breasts and look for any grounds for the gynecomasty such as malfunction of liver, estrogen including medicine usage or anabolic steroids. If a doubted medical ground is encountered, then you will be directed to a medical specialist. Your plastic surgery may require mammography or breast x-ray films for extraordinary situations. Performance of these demands will not only remove the breast cancer risks but at the same time will show us the breast formation structure of yours. As much your surgeon knows the lipid and mass formations in your breasts, he/she may choose the best suitable surgical approach for your needs.

Preparing for the operation: Your surgeon will inform you about the eating, drinking, vitamin and medicines during the preparation period. The smokers should make quitting at least a couple of weeks from the operation and during the recovery period. Smoking lessens the blood circulation and prevents the normal recovery dynamics. Known that, accordance with all the instructions of your surgeon is vitally important.

Where will the operation take place?The gynecomasty operation is generally performed without any stay in the hospital. However, for the extraordinary situations or if the other medical conditions cause doubts, it may be recommended to stay a night in the hospital. The operation generally is completed within one and a half hour. However, wider procedures may take more time.

Anesthesia type: The correction of the enlarged male breasts may be performed under total anesthesia and, in some cases, local anesthesia plus sedative medicines. You will be awake however not feeling any pain and in a mood of sedation. More complicated corrections are generally performed with total anesthesia; thus, the patient will sleep during all the operation. Your surgeon will tell you which option is being recommended to you and why.

Operation: If the excessive mass tissue is the main reason for the breast enlargement, this tissue will be cut and extracted. This incision may be performed together with liposuction or on its own. In a typical procedure, the incision shall be performed from an invisible part of body (areola side or arm pit area). Under incision method, the surgeon takes excessive skin, lipid and mass formation from the aerola periphery, sides of the breast and lower part of the breast. Wider incisions may be necessary for the bigger operations requiring an important amount of skin and tissue extraction; this in turn may result in visible scars. If liposuction is used for to take the excessive lipid, cannula is generally applied through the present incisions.

If your gynecomasty mostly comprises of excessive lipid tissues, your surgeon will possibly use liposuction for to take the excessive lipid. An incision smaller than half inch will be performed from the periphery outer line of the areola (dark area surrounding the nipple). Or the incision may be performed from armpit. A thin tube called cannula is attached to a vacuum pump and afterwards moved in through the incision. The surgeon will pass the cannula through the layers under the skin with strong and conscious movements; decomposes the lipid and vacuums it out. The patient may feel a shake or friction during this action however, generally, feels no single pain. For the extraordinary situations in which great amounts of lipid and mass tissues are extracted, the skin may not accord with the contours of the new and small breast. In such cases, the excessive skin may be taken for the skin to accord with the new breast contours. Sometimes a drain may be inserted from another incision for to pull out the excessive liquid. Incisions are generally closed with dressing. The breast may be wound for a tight placement of the skin in its position.

Post-Operative Period: Regardless of the method of your operation (surgical lancet or liposuction), you will feel discomfort in the couple of days after the operation. However, this discomfort may be controlled by the medicines to be prescribed by your surgeon. In any case, you shall have some companion who will drive you to your home after the operation and help you a couple of days. You may have swollen areas and purple spots during this period; indeed, you may even wonder if you are recovering or not. For to lessen the swollen places, you will be asked to put on an elastic pressurized dress at nights for a couple of weeks after the operation. Even though most of the swollen areas disappear in a couple of weeks, you should wait three or more weeks for to understand and feel/see the certain outcomes of the operation. However, it is important to adapt to normal activities in such period. You will be promoted to walk in the same day of the operation and to start your work as soon as you feel all right (which is one or two days after the operation). The stitches (sutures) will be removed generally after 1 or 2 weeks. Your surgeon will recommend you to keep away from sexual intercourse for one or two week and from heavy physical exercises for three weeks. You will be told to stay away from works and sports with risks of impacts on the breast area for at least four weeks. In general, it will take about a month for you to perform all your normal activities. You should protect the occurring scars (operation traces) from the sun at least for six months. The sunlight will effect the skin pigmentation permanently and may cause the scar to take a dark color. If it is not possible for you to avoid the sunlight, you should use a sun lotion with high protection factor.

Your new appearance: Gynecomasty operation will improve your image and confidence, however, times, you may not reach to the ideal person appearance you desire. Think well about your expectations before decided to have the operation and discuss these frankly with your plastic surgeon. The outcomes of the operation are important and permanent. If your expectations are realistic, then with a great possibility you will be satisfied with your new appearance.

Gynecomasty(Mamma oversize in men): The growing of men breasts due to hormonal reasons or lipid tissue increase may be corrected surgically. After examination ad elimination of tumor and systemic diseases, the increased mamma volume may be reduced to its normal sizes under local or total anesthesia. If the problem originates from the growing of mammal gland, then it will be taken through an incision on the nipple. If the problem comes from the increase of lipid tissue, the desired shape may be formed without any incision but with lipid tissue aspiration (liposuction) method. The patient may return his home on the same day as having an elastic dressing on the zone. The outcomes will be visible about in two weeks.