Gynecomastia surgery

What does mean gynecomastia surgery in Iran? What are the methods of performing this surgery? Can gynecomastia be treated without surgery? In the following, we intend to fully answer these questions. Stay with us.

A hormone called testosterone is produced in men’s bodies and is responsible for sexual development during puberty. But the hormone estrogen, which is responsible for female sexual development, is produced in men’s bodies. The production of testosterone hormone decreases after puberty and with increasing age, hormonal order and balance will be disturbed. The increase in the production of estrogen hormone will cause enlargement and inflammation of the breast tissue in men.

What is gynecomastia?

The enlargement of breast tissue in boys and men is called gynecomastia. This disorder occurs due to the imbalance of estrogen and testosterone hormones. Breast enlargement in men can be seen in one or both breasts. Gynecomastia is not a serious disorder and many boys will experience it during puberty. In some cases, breast enlargement will improve on its own, but if it does not improve, gynecomastia surgery in Iran is usually recommended.

Gynecomastia is one of the most common diseases so 90% is common in babies, 60% in teenagers and adults, and 50-65% in the elderly, and there is the least disease that is so common. In addition to male sex hormones, men also have a limited number of female hormones. If this balance is disturbed for any reason, men’s breast tissue may grow like women’s.

Why does gynecomastia happen?

Gynecomastia is aggravated by a decrease in the amount of testosterone hormone. The reason for this decrease can be due to the increase in estrogen levels or the blocking of testosterone. Some factors that cause hormonal imbalance are:

Normal changes in hormones

Estrogen and progesterone hormones affect the sexual characteristics of women and men. Testosterone is responsible for controlling muscle mass and hair growth in men, and estrogen is responsible for controlling breast growth in men.

After birth: After birth, the baby is still under the influence of estrogen received from the mother. It can be said that half of male babies are born with this condition, but after two to three weeks of birth, we will see an improvement in the symptoms.

During puberty: during this period, we see the greatest amount of hormonal changes, which usually improve six months to two years after a person enters puberty.

Taking medication

Another reason for the gynecomastia is drug use. Taking some drugs can lead to gynecomastia, these drugs include:

• Antiandrogen drugs are prescribed in the treatment of prostate enlargement or cancer.
• AIDS drugs
• Anti-anxiety medications such as diazepam
• Antidepressants
• antibiotics
• Cancer treatment such as chemotherapy
• Some disorders related to physical health

Types of gynecomastia

Gynecomastia in infants

In babies, female hormones may enter the baby’s body through the placenta during the fetal period, and we will see large and prominent breasts as soon as they are born. There may even be a milky secretion in it. The important question that is asked here is, should you take any action to treat gynecomastia in these babies? It should be noted that since this case is classified as physiological gynecomastia, there is no reason to worry it does not require any special measures, and it gradually improves within a few weeks to a few months.

If the child has breast asymmetry at the same childhood age (that is, one breast is bigger than the other), there is no need to take any action and you should wait until it grows, if the breasts are still big, you can The doctor visited and inquired about the cause.

Gynecomastia in adolescents

Sometimes teenagers who are at the age of puberty, the size of the breast appears as a gland in the nipple (center of the breast) and it is painful. In this case, what should be done? Male breast anatomy should be a flat tissue with some faint fullness and no distinct palpable mass. Any condition other than this is gynecomastia. The thickness is more than two centimeters and the glandular tissue is gynecomastia.

65% of male teenagers between the ages of 13 and 15 experience this problem once, which causes stress in the teenager and his family. Within one to two years, more than 90% of them will improve by themselves and there is no need to worry except in special cases. 25% of people who have gynecomastia, when they are tested, no underlying causes or problems can be seen in them, and we classify these in the category of idiopathic or unknown cause.

Gynecomastia in professional athletes

One of the common problems among professional athletes is the problem of gynecomastia so 50% of these people experience various degrees of gynecomastia during their professional activity. Some of these athletes think that they can solve this problem by doing sports when this is not the case and it gets worse with time. These athletes need gynecomastia surgery in Iran with special high-standard techniques to be able to return and resume their professional activities.

The use of these special techniques in men’s breast reduction gynecomastia surgery in Iran can cause minimal damage and completely resolve the problem so that patients can start light sports after a few weeks and after passing return to professional and international sports in 2 to 3 months. Gynecomastia is more important in professional athletes and requires surgery with a detailed design and complete implementation, which in addition to solving the problem of gynecomastia will interfere with the future of professional sports and be effective in promoting it.

Gynecomastia is not only problematic in terms of appearance, but it can be a symptom of an underlying disease. For example, metabolic diseases such as kidney failure, liver failure, pituitary failure, hypothyroidism, and hyperthyroidism, a series of underlying tumors such as lung tumors, brain pituitary tumors, testicular tumors, and adrenal tumors. These are important diseases, one of which symptoms may be gynecomastia. In this case, when visiting, these diseases should be diagnosed first and then the treatment should be started.

Cause of gynecomastia

Some disorders affect the hormones, disrupting their order and causing gynecomastia, we mention some of these cases below:

• Aging: Usually, with age, we see hormonal imbalances and the appearance of gynecomastia, especially in obese men.
• Tumors: Some tumors such as adrenal glands and pituitary glands can cause changes in the production of female and male hormones.
• Hyperthyroidism: In this disorder, the thyroxine hormone is secreted in a high amount from the thyroid gland.
• Kidney failure: About half of dialysis patients complain of breast enlargement due to hormonal changes.
• Liver failure and cirrhosis.

Gynecomastia diagnosis and treatment

This disease, like other diseases, has different symptoms. Some of the most important signs and symptoms of gynecomastia are:

• Swelling of the chest
• Chest tightness

If you notice pain, inflammation, stiffness, and discharge from the nipple (one or both breasts), be sure to see a doctor.

How to diagnose gynecomastia

CT scan, MRI, testicular ultrasound, and tissue biopsy are other diagnostic tests that are performed only in special cases.

To diagnose breast size in men, the doctor first examines the patient’s medical records and medications. Physical examination of the breast and examination of the breast tissue also help to make a definitive diagnosis. Blood tests and mammography are also usually prescribed by the doctor.

The purpose of the examination is for the doctor to make sure that the breast inflammation is due to gynecomastia or other reasons. Some conditions that lead to symptoms similar to gynecomastia include:

• Fats in breast tissue
• Breast Cancer
• Breast abscess, which is an infection in the breast tissue.

Treatment of gynecomastia

As mentioned earlier, in most cases, gynecomastia will improve on its own without the need for treatment. However, if disorders such as malnutrition or liver cirrhosis are the cause of breast enlargement and inflammation, treatment should be done. If the use of a drug has led to the occurrence of gynecomastia, the use of that drug should be stopped and a new drug should be replaced.

Big breasts in men can make them feel ashamed, this feeling is completely normal, and to deal with this situation, it is better to get counseling. In general, if pain and discomfort occur and the symptoms do not improve, treatment should be started.

• Taking medication: Medicines such as tamoxifen and raloxifene help treat breast cancer or other disorders.
• Gynecomastia surgery in Iran: If the patient is dissatisfied with the appearance of his large breasts, he can undergo surgery.

Another common question asked by clients is, can gynecomastia be treated with exercise and diet?

Experience has shown that it is rare for a person to get rid of gynecomastia by losing weight and dieting. Sometimes these diets may also cause skin laxity and the person may suffer from these two problems at the same time. This issue may reduce the chances of using special methods and techniques with small incisions, and the doctor is forced to use old methods that have longer incisions.

How is Male breast reduction surgery done?

There are different methods for gynecomastia surgery in Iran in men, the best method will be determined by the surgeon in the first consultation session.

Breast reduction can be done through liposuction, an excision (tissue removal), or a combination of these two methods. For example, if excess fat tissue is the cause of gynecomastia, liposuction alone is likely to be sufficient to solve the problem.

The purpose of gynecomastia surgery in Iran is to solve three problems caused by this disease:

1. Fixing the disproportionate appearance: Breasts, which are considered to be the identity and display of femininity, will naturally cause mental harassment in the opposite sex of a man, and as a result, the restrictions that a person will put on themselves, in social activities, sports, etc. Especially in the upper stages, it will be very annoying and disruptive to life.
2. Pain Relief: Painful breasts happen in some cases and some periods of life in these enlarged breasts
3. Removing the risk factor of breast cancer: by removing large and unusual breasts, our concern about large volumes of glandular tissue that can cause future problems will disappear and our minds will be easier.

Liposuction

In liposuction, anesthetic fluid is injected into the tissue and a cannula (a thin hollow tube) is inserted through a small incision made in the breast area. After inserting the cannula, the cannula is moved back and forth. This controlled action causes the excess fat in the breast area to loosen and all the fat is drained from the breast through the suction process. If gynecomastia is caused by the accumulation of fats and also if the process of breast growth is complete in a person, liposuction can be considered one of the best ways to solve the problem of breast appearance and also to treat gynecomastia. Many factors are involved in choosing liposuction for the treatment of gynecomastia, the determining factors are the age of the person, the elasticity of the skin, etc.

Mastectomy (excision technique)

Excision or breast tissue removal gynecomastia surgery in Iran is recommended when the breast tissue is glandular or in cases where it is necessary to remove the skin from the breast area to correct gynecomastia conditions. Excision is sometimes used to reduce the size of the breast or change its position. To prevent scarring after treatment, the surgeon tries to make surgical incisions in the natural lines of the body or the brown area of ​​the chest. For this treatment, a part of the tissue is left under the head of the breast so that the head of the breast does not take on a sunken and donut-shaped appearance. Of course, keep in mind that remaining tissue can cause gynecomastia to occur again and the breast will return to its original state.

Experience has shown that it is rare for a person to get rid of gynecomastia by losing weight and dieting. Sometimes these diets may also cause skin laxity and the person may suffer from these two problems at the same time. This issue may reduce the chances of using special methods and techniques with small incisions, and the doctor is forced to use old methods that have longer incisions.

Combination of liposuction and excision technique

In the combined method, using liposuction and excision methods. As mentioned earlier, in most cases, gynecomastia will improve on its own without the need for treatment. However, if disorders such as malnutrition or liver cirrhosis are the cause of breast enlargement and inflammation, treatment should be done. If the use of a drug has led to the occurrence of gynecomastia, the use of that drug should be stopped and a new drug should be replaced. Big breasts in men can make them feel ashamed, this feeling is completely normal, and to deal with this situation, it is better to get counseling. In general, if pain and discomfort occur and the symptoms do not improve, treatment should be started.

It is impossible to remove glandular tissue from methods such as liposuction and lipomatous. Therefore, in all patients, we will recommend the complete removal of glandular tissue and fat tissue, which can be said that methods such as liposuction are used as an aid during the main operation and we never use it as a single method.

Am I a good candidate for gynecomastia surgery?

In the past, it was said that the minimum age for gynecomastia surgery in Iran is 16 to 17 years, but due to the acute problems that exist for these people today, there is no specific age for surgery. Whenever physiological gynecomastia that occurs during puberty is established, we should wait at least 6 months to two years to see if the problem resolves itself. If this problem is not resolved after two years, surgery is performed. It should be noted that with increasing age due to the increase in breast volume, surgical techniques will be more limited.

Gynecomastia surgery in Iran time is one year after fixing the problem and creating it. The reason is that gynecomastia during puberty is rarely seen to improve on its own and there is a very small chance that it will improve over the following years. Another thing is that gynecomastia injuries, especially during puberty, lead to psychological injuries for teenagers. If there is no spontaneous recovery after one or two years from the onset of gynecomastia, gynecomastia surgery in Iran is recommended and can be performed.

Gynecomastia risks and side effects

Note that no gynecomastia surgery in Iran is without risks and gynecomastia also has a series of complications and risks.

The risks of gynecomastia include:

• Allergy to materials and tools used
• Risk of bleeding or hematoma or blood clots
• Danger of anesthesia
• Breast asymmetry or irregularity in its appearance
• In some cases, there may be a possibility of re-surgery.
• Change in nipple sensation that may be temporary or permanent.
• Fatty tissue in the breast may be lost.

Recovery from gynecomastia surgery

Many people who intend to have breast reduction gynecomastia surgery in Iran or gynecomastia constantly have questions about the recovery period and the time it takes to fully recover. If we want to talk about the recovery period of gynecomastia (recovery period of all breast surgeries), it is worth mentioning that breasts are an organ outside the body, and therefore, like surgeries performed on internal organs, we expect this. We do not expect the recovery period to be long.

Due to the method of minimal incision and immediate reconstruction, we do not expect a long and difficult recovery period. Usually, our patients are admitted to the hospital in the morning, the surgery is done in the evening, and some of them can be discharged. Some others may be hospitalized for a maximum of one night depending on the conditions of the operation and will be discharged tomorrow morning. In general, the expected recovery period is that after two or three weeks the person can start light sports and return to work after three or four days. A short rest in the first days after gynecomastia surgery in Iran is enough. Finally, after 2 or 3 months, the patient can start exercising in any branch without any restrictions.

With the technique of complete removal of breast tissue and reconstruction at the same time, the probability of recurrence is close to zero, and the probability is extremely low unless we have a client with a very specific disease, which is usually examined and analyzed before surgery. Gynecomastia surgery in Iran is perhaps the main treatment method for gynecomastia. On the other hand, it is very important to use the right technique and methods to prevent the recurrence of the disease. It is important to pay attention to this point.

Gynecomastia cost in Iran

The costs of gynecomastia surgery in Iran can vary widely. For this surgery, anesthesia costs, operating room facilities, or other related costs should be considered. The surgeon’s fee may vary based on his experience, type of procedure, and geographic location.

In summary, the surgery costs are:

• Anesthesia costs
• Hospital or surgical expenses
• Medical tests
• Post-surgery clothes
• Drug prescription
• surgeon fee

Frequently Asked Questions About Gynecomastia Surgery

Is gynecomastia worth gynecomastia surgery in Iran?

Sometimes, this disease affects a person’s mood and self-confidence in a way that reduces the quality of life. Surgery can be a permanent and quick solution for this disease so that the result after surgery is completely clear.

How is gynecomastia solved with gynecomastia surgery in Iran?

Gynecomastia is a benign growth of male breast tissue. In gynecomastia, the surgeon removes the extra breast tissue with a special method that he considers.

Can gynecomastia surgery in Iran have any side effects?

If you visit the best gynecomastia surgeon who has a history of successful surgeries and uses the best and latest techniques in the world, the complications or risks will be greatly reduced, so you should not worry about this issue.

Is gynecomastia surgery in Iran painful?

Gynecomastia surgery in Iran usually has a relatively mild recovery period. You may feel sore during the first few days of rest at home, but the pain is usually mild.

What are the symptoms of gynecomastia mass?

The biggest symptom of gynecomastia is breast enlargement. Your breasts may also be tender. You may feel a small bump or lump behind the nipple.