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PLASTIC SURGERY
By presenting this site to you I tried to show
you the plastic surgery world and plastic
surgeons’ point of view. The one who is
performing his own profession knows his
profession’s needs and reflects it to his job.
Everything could seem different by those who are
out of this topic but people work in the same
type of job talks in different language even if
it is not a secret.
Medicine is not a profession which has secrets
and I tried to explain everything by obvious
expressions. If you need more information, you
can write me, send me a photo or contact me
personally.
Those that I write generally show my
applications and my approaches in this branch
but other doctors can make distinct approaches.
Remember that this is a branch of medicine which
there is no certain boundary between right and
wrong, but personal approach is important.
Op. Dr. Teoman Doðan

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THE BREAST GROWTH OF THE MEN
(GYNECOMASTIA)
In fact there is no big
difference between men and
women breast as structural.
The only reason for men
breast to be small is that
there is no adequate women
hormone in the men’s body.
But in some cases the
breasts of the men starts to
grow by themselves and they
almost take the shape of
women’s breast. This is an
illness and it is called
gynecomastia in medical.
WHAT IS THE REASON FOR
GYNECOMASTIA?
There may be lots of reasons
of gynecomastia. Some
illnesses, for example liver
illnesses like cirrhosis,
some medicines, for example
a stomach medicine which is
used very much once upon a
time can cause gynecomastia.
But in the cases of
gynecomastia mostly there is
no reason. In other words,
this illness occurs by
itself without a reason
mostly. A great majority of
the body builders have
gynecomastia. The reason for
that is the high dosage of
masculinity hormone that
they use as exciter. After
the masculinity hormone is
used a material which is
like femaleness hormone is
formed and when this is high
dosage, it causes breasts to
grow. The most frequently
used medicines in Turkey are
primabolan sustanon and
anapolan. Especially
anapolan causes gynecomastia
seriously but it is
preferred by body builders
because it is so effective
and it is used as pills.
COMPLICATIONS AND THE
PROBLEMS THAT MAY OCCUR
There is almost no risk of
serious bleeding in this
kind of surgeries. Bleeding
might be as accumulation at
a part of the breast as
hematom. Your doctor may
want retake you into surgery
room to clean this
accumulation stop bleeding
if it continues.
A tumescence which is on one
side for 5 days may be the
sign of an infection. The
healer might be removing the
prosthesis and cleaning the
infection.
Asymmetry is one of the
problems that can be
encountered. Even it is rare,
a retouch surgery might be
essential in serious
asymmetries.
TIPS
Before the surgery,
absolutely it is essential
to have tests and
investigate if there is a
reason or not.
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WHAT IS EXPECTED
BEFORE AND AFTER THE
SURGERY?
This is a small
level surgery. It is
not painful surgery
either. Usually
patients discharge
at the same day and
can be back at work
in 3-4 days. The
first day might be
relatively hard. It
is adequate to have
painkillers by mouth.
This is a surgery
which serious
lividness and
tumescence are not
expected.
If you work it is
enough to reserve 4
days for this
surgery.
THE REPORT OF THE
SURGERY
Anesthesia: Local or
general.
Where should the
surgery be performed:
In a hospital
operating room or in
a hospital.
The duration of the
surgery: 1 hour
The duration of
hospital stay: Can
be dismissed at the
same day.
The ache and pain
after the surgery:
You can have a
little ache for the
first days.
Especially for a few
days there is an
ache in the arm acts.
Tumescence and
lividness: Between
5-10 days. Medium
level.
Drains: With a low
possibility you need
to use drains.
Drains are taken at
the following day.
Dressing for the
wound: Is taken away
totally in 2-3 days.
Sutures: Generally
there are no sutures
that should be taken.
When can be back at
work: 3-4 days
Driving car: 3-4
days later, after
the sensitivity in
the arm acts
decrease car can be
driven.
Be back at the daily
life: A few days
after the surgery
there is a little
ache in the arm acts.
This is the ache
that belongs to
chest muscles which
breasts are on.
Sports: After 2
weeks long jogging,
3 weeks later
running can be
performed. The
sports that arms are
used like tennis and
fitness can be
performed after 4
weeks.
The last shape: The
hardness which is
formed at the first
days goes off after
3rd month.
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