Gynecomastia occurs as an abnormal, but usually benign, growth in breast tissue as a result of an imbalance of estrogen and testosterone hormones in men. This may affect one breast in some cases, or both breasts in some cases. Irregular growths of different sizes can be seen in both breasts.
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Before starting gynecomastia treatment, it should be evaluated whether the patient has an underlying hormonal disorder. Therefore, if an individual suspects gynecomastia, they should first consult an endocrinologist.
Gynecomastia treatment options are determined by the type of gynecomastia. Gynecomastia can be subject to different classifications. Nydick classification is used to evaluate the course of gynecomastia and its response to treatment in adolescents. In this classification, the type of gynecomastia is determined by the size of the glandular tissue disc located under the nipple (areola).
Surgical intervention is considered the most effective and definitive method in the treatment of gynecomastia. The method of surgical intervention is determined as a result of the examinations performed by the surgeon. Different methods can be applied depending on different classifications of gynecomastia.
In glandular type gynecomastia, hard breast tissue predominates and may require surgical removal. In this case, glandular tissue is removed by surgical intervention.
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