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Gynecomastia Surgery
Preoperative Phase with Dr. Tolga Aksan
Consultation and Evaluation:
- Medical History and Physical Examination: Dr. Aksan assesses the patient’s overall health, including any previous chest surgeries, current medications, and specific concerns related to breast enlargement.
- Discussion of Aesthetic and Functional Goals: The patient’s goals for chest contouring and expectations from the surgery are discussed.
- Physical Assessment: Examination of the chest area to determine the extent of gynecomastia and whether it is primarily caused by excess fat, glandular tissue, or a combination of both.
Preoperative Tests:
- Routine blood tests and possibly hormonal studies to rule out underlying causes of gynecomastia.
- Imaging studies such as mammography or ultrasound may be performed to assess breast tissue.
Planning and Marking:
Dr. Aksan plans the surgical approach based on the type and extent of gynecomastia
Surgical Procedure by Dr. Tolga Aksan
Anesthesia:
- Gynecomastia surgery is typically performed under general anesthesia.
Incision and Tissue Removal:
- Liposuction Technique: If gynecomastia is primarily due to excess fatty tissue, liposuction alone may be used. Small incisions are made for the liposuction cannula to remove excess fat.
- Excision Technique: If glandular breast tissue or excess skin must be removed, excision is necessary. The extent of the incisions depends on the amount of tissue to be removed.
- Combination of Liposuction and Excision: Often, both techniques are used for optimal results.
Reshaping the Chest Contours:
- The chest contours are reshaped for a more masculine and flat chest appearance.
- If necessary, the areola size and position can be adjusted.
Closing the Incisions:
- The incisions are closed with sutures, and dressings or bandages are applied.
Postoperative Care by Dr. Tolga Aksan's Team
Immediate Recovery:
- Postoperative instructions include managing swelling and discomfort with medications. A compression garment may be recommended to support the new chest contour and minimize swelling.
Postoperative Instructions:
- Detailed guidance on caring for the incisions, medications to reduce the risk of infection, and activity restrictions.
- Information on when to return for a follow-up.
Follow-up Visits:
- Regular appointments with Dr. Aksan to monitor healing and assess the results of the surgery.
Long-Term Care and Results:
- Final results are typically visible after several weeks to months, once the swelling has subsided.
- Scars will fade over time but may not disappear completely.
Key Considerations
- Patient Selection: Ideal for men experiencing breast enlargement that cannot be corrected through alternative medical treatments or lifestyle changes.
- Recovery Period: Full recovery can take several weeks, with patients advised to avoid strenuous activities during the initial healing phase.
- Risks and Safety: Dr. Aksan discusses potential risks such as scarring, asymmetry, changes in nipple or breast sensation, and the need for revision surgery.
Dr. Aksan’s approach to gynecomastia surgery is focused on achieving a natural, masculine chest contour, addressing both aesthetic and psychological aspects. He provides comprehensive care throughout the entire process, from preoperative planning to postoperative recovery and follow-up.