Gynecomastia

What is gynecomastia correction surgery?
Gynecomastia is a condition in which the male breast becomes larger than normal and takes on the appearance of a female breast. The procedure in which excess subcutaneous fat tissue is removed with liposuction is called gynecomastia surgery.

What is the purpose of gynecomastia surgery?
The purpose of gynecomastia surgery is to achieve a flat, masculine and normal breast appearance.

Is gynecomastia surgery a difficult operation, and how long does it take?
Gynecomastia surgery is not a difficult or painful operation. It is performed under general anesthesia and takes approximately 1.5 hours.

How is gynecomastia surgery performed?
In the correction of Stage One Gynecomastia, excess fatty tissue is removed by liposuction through several small openings using cannulas and vacuum. In Stage Two Gynecomastia, after liposuction is performed, a C-shaped incision is made around the breast areola and the remaining glandular tissue is surgically removed.

What are the possible risks and complications of gynecomastia surgery?
As with any surgery, there are risks such as bleeding, bruising-swelling, asymmetry and scarring after gynecomastia surgery. These risks will be minimized as much as possible with the appropriate approach of your surgeon and by the patient strictly following the recommendations.

Are there any side effects of gynecomastia surgery?
Gynecomastia surgery does not have any specific side effects, and the surgical risk is not higher than that of other aesthetic surgeries.

Will there be scars after gynecomastia surgery?
In the liposuction method, there will be several 0.5 cm scars at the entry points of the liposuction cannulas. If some glandular tissue is removed through an incision around the nipple, a C-shaped surgical scar will form around the nipple. These scars may be noticeable at first, but become less visible over the months.

How long do the effects of gynecomastia surgery last, and will I need another operation in the future?
Normally, depending on the amount of tissue removed from the breast, patients remain satisfied with the results of gynecomastia surgery for many years. However, some enlargement may occur over time due to excessive weight gain or hormonal disorders. The procedure may be repeated if desired.

What should be done before gynecomastia surgery?
Before gynecomastia surgery, our doctor evaluates the patient and a plan is made regarding the procedure to be performed. The surgery date is decided. As with all other surgeries, smoking should be stopped 2 weeks before surgery. Blood-thinning medications, herbal teas, vitamins and weight-loss medications should not be used starting 1 week before surgery. Only medications that the patient needs to use because of existing diseases should be taken with the doctor’s knowledge. You will be informed about how many hours you need to fast on the day of surgery.

Why is it important to stop smoking before gynecomastia surgery?
Since smoking significantly affects wound healing and may cause risks including nipple loss, it is strongly recommended that you do not smoke for 15 days before and 15 days after surgery. The patient should be aware that smoking is one of the main causes of poor healing.

How should we sleep after gynecomastia surgery?
In order to prevent swelling from increasing and to allow it to decrease over time, you should sleep with your head elevated using 2-3 pillows. After 2 months, you may sleep in any position.

How is dressing performed after gynecomastia surgery?
As long as the tapes applied during surgery are not removed, no additional dressing is required. There may be minimal leakage in the dressing area. The tapes are removed after 7 days. After that, no dressing is required. Your doctor may recommend creams for the wound line.

When can I return to work after gynecomastia surgery?
After gynecomastia surgery, your tissues will have healed sufficiently within 7 days. However, in most cases, completing 10 days is sufficient before going out in public and returning to work.

When can I start exercising after gynecomastia surgery?
For the first 3 days after gynecomastia surgery, you are generally advised to rest, walk around the house and perform simple daily activities. After 3 days, you may take short and careful walks outside. However, lifting weights and strenuous exercise are not recommended during the first weeks. Generally, all types of sports activities are allowed after 2 months.

Will I need to wear a compression garment after gynecomastia surgery?
After gynecomastia surgery, compression garments will be applied over the dressing to provide pressure to the area. You should wear your compression garment continuously for as long as your doctor recommends. Generally, the compression garment is no longer needed after 3-4 weeks.

Will the stitches be removed after gynecomastia surgery?
Since absorbable sutures are used in gynecomastia surgery, there is no need for stitch removal.

Is gynecomastia surgery very painful?
After being discharged from the hospital following gynecomastia surgery, most patients state that they experience very little pain. Regular use of the prescribed antibiotics and painkillers is generally sufficient.

When can I take a shower after gynecomastia surgery?
During the first days after surgery, the wound areas should not be wet. However, since the appropriate time for showering varies according to the condition of the wound, you may take a shower when your doctor gives approval. Generally, showering is allowed after 9 days. Extremely hot or extremely cold water is not recommended during the early period.

When can I swim in the pool or sea after gynecomastia surgery?
It is recommended to wait 2 months before swimming in the pool or sea.

When can I travel after gynecomastia surgery?
After gynecomastia surgery, short-distance road travel can be made after 3 days. For a 1-2 hour flight, it is appropriate to wait until 7 days have passed.

How long should sexual intercourse be avoided after gynecomastia surgery?
During sexual intercourse, blood pressure increases, which may cause unwanted bleeding after surgery. Therefore, it is recommended to wait 2 weeks before sexual intercourse.

When can I start sunbathing or use a solarium after gynecomastia surgery?
After gynecomastia surgery, sunbathing and solarium use are not appropriate for the first 3-4 months because the surgical areas may be affected and the surgical scars may become darker.

How much does gynecomastia surgery cost?
In order to provide clear information about the cost of gynecomastia surgery, the patient’s complaints and aesthetic expectations need to be evaluated objectively, and the procedures required need to be determined. Pricing information will be provided after the examination.

If you have any questions regarding surgeries or would like to be evaluated by Plastic, Reconstructive and Aesthetic Surgery Specialist Op. Dr. Fatih Söylemez, you can request an appointment via WhatsApp or Contact Form now.