Welcome to Dr. Nazmi Baycin’s gynecomastia page. As a plastic surgeon in Dubai, UAE, here I will share my professional knowledge and personal experience about gynecomastia causes and gynecomastia surgery. Also, you will find out best surgical techniques, recovery period, tips to avoid unwanted results, risks and complications and more… You will also have an idea regarding the gynecomastia surgery prices in Dubai.
The overgrowth of the male breast is called gynecomastia. It may occur on both sides as it may occur on one breast.
Although some medications, hormones and medical problems are related to overgrowth of the male breast, certain reason why the majority of the patients are triggered is unknown.
If you plan to have gynecomastia surgery in Dubai, here, you will find out all the information you need.
Hormones, primarily estrogen and progesterone, which are female hormones, promote the biological development of breast tissue. The male hormones suppress the effects of estrogen on the breast tissue. Cause is the imbalance between the effects of these hormones on the breast tissue of in adolescence.
Conditions that lead to decrease in the level of testosterone, such as the congenital Klinefelter Syndrome, the removal of testicles, conditions causing increase in estrogen level such as testicular tumors, suprarenal tumors, obesity, renal failure, hemodialysis, thyroid hormone imbalance, liver tumors, alcohol, cimetidine, amphetamine, marijuana, tricyclic antidepressants, anabolic steroids used in bodybuilding, and drug abuse may cause.
Gynecomastia occurs up to 40% in boys aged 10-16 years and peaks up to 65% in the highest growth period.
Scientific data showed that over-grown breast tissue regresses spontaneously 27% of cases within one year, 77% of cases within two years. However, 4% of case persists until adulthood that require gynecomastia surgery.
Gynecomastia occurs 50-60% of males during adolescence, persists for 1-2 years; 75% of those in two years, 90% of those in three years regress completely.
Increasing the fat ratio in the body may result in an increase of the breast mass due to the progression of age and the alteration of the hormonal balance between the ages of 50 and 80 years.
Breast consists of 2 main tissues: fat tissue and mammary glands. Authors classify the cases according to the increase in these tissues. Surgeons determine the treatment method accordingly.
In glandular gynecomastia, over-growth of mammary glands occurs. In adipose gynecomastia fat tissue over-growth occurs. Both fat and mammary glands over-growth occur in mixed type.
My objective is to make you happy as achieving a more acceptable chest form that looks more masculine without a surgical mark. So, redundant fat removal and loose skin tightening will improve your body image and restore your self-confidence.
Some patients seek a solution as they experienced a failed gynecomastia surgery before. Over-correction or under-correction are the most common complaint of the patients consulting me. Sometimes, their corrective surgery challenges even more than to do the primary surgery. Therefore your first surgery is crucial. The goal is to achieve the best outcome in a single shot.
The method of the treatment depends on the age of the patient. By the way, do not forget that it may likely regress spontaneously within 1-2 years in adolescence without gynecomastia surgery.
In adolescence, medical treatment can help under the control of an endocrinologist in advanced cases. If there is an underlying reason such as thyroid, liver or kidney disease, or drug abuse, a specialist doctor should intend first for the treatment of underlying reason.
If the patient is older than adolescence age and still has over-sized breast without an underlying cause, the treatment option is only gynecomastia surgery. Unfortunately, sports or diet programs are not helpful for treatment or correction.
Gynecomastia surgery requires whether local or local anesthesia supported with deep sedation. General anesthesia is also another option upon your request. We will decide the type of the anesthesia type mutually according to its degree.
If breast mass involves in a limited area, local anesthesia is a good option. When it extends larger area which local anesthesia may not be sufficient, deep sedation or general anesthesia is better.
Gynecomastia surgery takes 45 minutes to 1.5 hours depending on the technique and fat amount.
I determine the technique regarding the involved tissue, the size of the breast mass, and skin elasticity.
Liposuction (fat removal) is the most common procedure for gynecomastia surgery in which the fat accumulated in particular areas of the body. I remove the fat by vacuuming with a fine cannula that can enter through a small hole. In order to reduce bleeding, I infiltrate a tumescent solution into the breasts at the beginning of the procedure. Through the effect of tumescent solution, bleeding minimizes during the gynecomastia surgery. Furthermore, the solution also reduces the pain after the procedure as well. 3-4 mm cuts on the skin are enough to introduce the cannula inside. I suction the fat tissue as inserting the cannula through the incision into the breast. 3-4 mm cuts on the skin heal without a noticeable mark.
In case of overgrown breast, when the tissues of the breast reduced, skin surface does not fit to the reduced breast volume. That causes skin abundance and loosening. In such cases, I remove the excess skin for tightening. However surgical wound leaves a light scar if skin tightening necessary.
Vaser liposuction methods are the latest technology in gynecomastia surgery. This technique has a burn effect on the fat cells and the mammary glands.
In glandular type that mammary gland needs to be removed. Both the fat tissue and the mammary glands can be removed as liquefying the tissue without skin incision and resulting surgical scar. Both laser and vaser liposuction heat the skin up with the released energy. Thus, the skin shrinks and tightens following the gynecomastia surgery.
Thanks to this advantage of gynecomastia surgery, especially in people with skin excess, laser or vaser techniques provide satisfactory outcome without creating a surgical scar.
You will be able to leave the hospital on the same day.
Mild pain is concomitant after gynecomastia surgery and can easily be controlled with pain killers. So, you will not have any discomfort with the pain.
After 2 days, you can take a shower.
You should wear a corset wrapped around the chest for 3 weeks following the surgery. The corset makes pressure and ensures the skin to conform to your body, also reduces the swelling after surgery.
After recovery process which takes 3-4 days, you will be able to return to work life. Also, you will be able to travel 2 days after the procedure.
You may experience swelling and bruising which will disappear spontaneously within a few weeks on the breast area following gynecomastia surgery.
The actual shape of your breasts will appear after 2 months.
The complication rates of gynecomastia surgery are the compilation of medical literature data. The rates may vary depending on the patient’s medical conditions, skin elasticity and current breast size. That does not mean you will experience all those complications.
Although minor risks may occur after all surgeries, gynecomastia surgery has no serious risk.
Hematoma (blood collection inside the wound) may occur after en-bloc fat removal in severe gynecomastia cases, however meticulous bleeding control during the surgery prevents hematoma.
Infection risk is rare and antibiotic medication minimizes the infection rate.
Inadequate or unequal fat removal may lead to asymmetries that need correction after gynecomastia surgery.
Also it provides a lifelong satisfying result and your confidence as correcting your breast contour.
IMPORTANT ! Before getting the appointment, check your medical conditions yourself.
How much does gynecomastia surgery cost in Dubai?
Gynecomastia surgery costs in Dubai vary from clinic to clinic and depend on the surgical technique choose. In my practice, gynecomastia surgery price: 12.000 AED ($3.300).
The price includes surgeon fee, blood tests, hospitalization expenses, gynecomastia garment, medicines and consumables used in the hospital. Deep sedation or general anesthesia options are subject to extra payment. The price may rise depending on the complexity of the procedure.
Get ready to look and feel best with gynecomastia surgery… You deserve…