It can be described as female-type breast enlargement in men. It occurs in varying degrees. It may occur as enlargement of the breast tissue (true type glandular gynecomastia), excessive fat accumulation in the breast (pseudo-type lipomatous gynecomastia) or a combination of both. Breast size may cause aesthetic and psychosocial problems in men. It occurs 90-95% spontaneously.It occurs due to structural reasons and excessive weight gain.Rarely, it may indicate endocrinological and urological problems.
It would be beneficial to request breast USG after a careful examination and, in some cases, to get endocrinology and urology opinions.

The treatment of this problem is usually surgical. The operation takes 1-1,5 hours with general anesthesia. The method to be applied is determined by the degree of breast size. In cases where there is no excess skin, the fat suction method usually gives sufficient results. If necessary, breast tissue removal with incisions made from the nipple is also added to the surgery. In these methods, 1-2 cm scars are left at the entrance.
In cases with excess skin, breast reduction techniques are applied. The operation takes 1.5-2 hours under general anesthesia. In this method, scars are left around the nipple and extending from the nipple to the sides. Scars can be reduced relatively over time with the right care.
Drains are placed when necessary. It is removed after 12-24 hours. The patient is discharged after 1 day. After the operation, the patient is dressed in a special corset. This corset should be used for 4-6 weeks.
The patient returns to his normal life after 1 week.