Gynecomastia - Dr. Yavuz Özsular


Operation Period
1-2 Hours
10 Days
Hospital Stay
1 Night
Dressing Period
Thin Tape 10 Days
4-6 Weeks

Gynecomastia (Enlarged Breasts In Men)

Gynecomastia is defined as enlargement of breasts in males– similar to women – for various reasons. Gynecomastia surgery is a surgical operation that aims to reduce and shape the enlarged breasts into an ideal size.

Why Can Men’s Breasts Enlarge?

Men’s breasts can enlarge for any number of reasons: genetic predisposition, excessive weight gain and loss, eating an unbalanced and unhealthy diet, hormonal imbalances during adolescence and diet, and eating foods riddled with hormones.

They won’t shrink by themselves; gynecomastia surgery is the only solution for to correct this problem.

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Ask The Doctor...

    How Can Gynecomastia Negatively Affect Men?

    Men who suffer from gynecomastia may also have trouble buying clothes and being involved in their social life. Generally, they wear loose-fitting clothes to mask their disorder, but this doesn’t always work.

    They may also be exposed to bullying (especially if they are young), which in turn can affect them psychologically.

    Likewise, things like swimming or undressing in common changing rooms can be torture for them.

    First, Dr. Ozsular will listen to your complaints and expectations. Next, he will examine how big your breasts are, your other adipose tissue, age, physique, height, weight, and shoulder width, and plan your surgery accordingly.

    Gynecomastia comes in three forms:

    • Enlarged breast tissue
    • Enlarged adipose tissue
    • Both enlarged breast and adipose tissue

    The doctor will diagnose your condition and plan your treatment based on your needs.

    In some cases, only liposuction is planned.

    Sometimes – after liposuction, excess skin is removed around your nipple to give you a new appearance, and with the goal of minimum scar formation.

    In some other cases, a part of the breast tissue is also removed by liposuction and a semilunar incision under the nipple.

    Albeit rare, some men’s breasts sag like women’s breasts. To correct that, we would remove even larger amounts of skin need. However, you will end up with more scarring.

    The aim of the procedure is to bring your breasts be close to one another and as close to the same size as possible.

    We will use photographs and simulation to give you a preview of what the results might look like.

    It takes approximately 1 to 2 hours to complete the procedure although this can vary based on the surgery.

    During your pre-operative examination, Dr. Ozsular may tell you to temporarily stop using certain medications – in which case you should do so. (If you take aspirin or any form of anticoagulant, tell Dr. Ozsular and continue only if he tells you to do so.

    Try to reduce how much salt you consume as well a few days before the surgery. This will reduce your risk of developing edema.

    You are allowed to eat as well as drink water until 00:00 (12 AM) the night before your surgery. Since the surgery will be conducted under general anesthesia, you will need to fast for at least six hours prior to the procedure. (If you forget to do so, your surgery may be postponed or canceled.)

    Don’t put on make-up, deodorant, hair gel, or perfume.

    Don’t wear wigs. Don’t wear any jewelry (including piercings) – your body should be free of metal.

    Also, don’t forget to put together an overnight bag – including loose clothes (preferably with zippers/buttons)– before you come in for the surgery. You also should wear comfortable sneakers.

    On the morning of the surgery, you will be taken to your room to rest. Your final preparations for the surgery will be conducted. Dr. Ozsular and his assistant will come and visit you.

    After the administration of general anesthesia for your operation, the doctor begins your gynecomastia surgery as planned.

    Photographs are taken at the end of the operation, local anesthesia is applied, and your dressing is done. Then, your special protective corset is worn and you are slowly awakened. Local anesthesia applications allow you to wake up comfortably, without any pain.

    You won’t feel any pain since the operation will be performed under general anesthesia. Your corset will be worn when you are anesthetized. It is normal to feel slightly dizzy when you are taken to your room. You don’t feel pain due to the use of the analgesics. You’ll be able to eat a light soup 3-4 hours after the surgery.

    Depending on the nature of your surgery, we may need (or may not) need to place a drain into you. We will make you overnight after surgery. However, depending on how the surgery went, your condition, and your own request, you may get discharged in the same evening upon doctor’s approval.

    If you feel well, then you may not need to rest in bed. Rather, you might even be able to rest, take slow walks, and even go sunbathing. You must not do any heavy labor or sports.

    Mild swelling, pain, and ecchymosis are normal the first few days after the surgery. Taking analgesics will prevent all of these from occurring.

    Your first control will take place 3 to 5 days after the surgery, during which we will change your dressings, examine you, and place your corset back on you.

    You’ll be able to take a shower 2 days after the surgery.

    You’ll need to wear your corset for the first month after the surgery. During that period, you should also avoid doing any physical activity that puts force to your body. You also need to protect your chest from taking on any impact.

    We recommend that you don’t smoking for the first 1 week after the surgery.

    You must exercise if you want to lead a fresh life. If you do sports in the long term, your chest area will recover faster, and you’ll even build chest muscles.

    Don’t forget to eat a healthy diet.

    The following rule applies to men in particular: try to avoid eating anything that will feed extra estrogen into your body. Also, try to eat as many organic foods as possible.

    Yes, but how big depends on the procedure in question. If you have liposuction only, we will make 3 – 4 mm incision by inserting thin cannulas into you. The resulting scar will be no more than half a centimeter wide.

    If we have to remove excess skin from you, the we’ll need to make a thin incision around your nipple line, and then suture it up when done – resulting in a slight scar there. However, it won’t be noticeable, and will even disappear over time, blending into the color of the rest of your skin due to its location around your nipple.

    If you need to undergo a gynecomastia surgery for large sagging breasts, then you will definitely have scarring along the horizontal line. Upon recover, you’ll be able to hide this scarring with tattoo, if you wish.

    Note: how well your scars recover depends on your body structure. While some scars become very indistinct and almost invisible, some scars heal by swelling. If you have chest hair, your scars will most likely blend into it.

    We don’t recommend that boys undergo this surgery unless their condition is extremely serious. Rather, you should wait until you’re at least age of 18 – in particular, as soon as your hormones have balanced out.

    Depending on the nature of your body, you may see the results as early as 3 to 4 weeks after the surgery. Others may have to wait as long as 3 to 4 months, whilst some may even have to wait up to a full year since edema subsides late.

    Not, under normal conditions, no – unless you experience any hormonal imbalance again, gain excessive weight, or the condition recurs due to your genetics. This is rare.

    Many of our patients ask us this. The short answer is yes – Many of our patients ask us this. The short answer is yes – upon your request, your doctor may include this in the surgery planning by considering your age, overall health, the total duration of the operation and whether or not these surgeries are combined.

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