A novel method of marking nipple areola complex in gynaecomastia surgery

Wani, Shabeer Ahmad; Rabah, Sari M.; AlFadil, Sara; Saglam, Nieves Vega

doi:10.4103/0970-0358.155282

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…The traditional surgical method of simple resection has disadvantages such as large incision and wound and postoperative bumpiness [14] . Simple fat aspiration cannot completely remove hyperplastic glandular tissue, which may lead to incomplete treatment and risk of recurrence and may lead to local bumpiness, which is not ideal for most patients [15][16] . Therefore, in the cases of this study, the hyperplasia of chest fat were first removed by liposuction, and the glandular connective tissue in the central region of the breast were then removed through areola incision.…”

Section: Discussionmentioning

confidence: 99%

Clinical Study of Liposuction Combined with Subareolar Incision Adenectomy for Gynecomastia

Sun¹,

Shao²,

Weng³

2023

JCNR

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Objective: To investigate the clinical effect of liposuction combined with subareolar incision glandectomy in the treatment of Simon Grade Ⅲ adipo-glandular gynecomastia (GYN). Methods: From March 2021 to March 2022, the data of patients with Simon Grade Ⅲ adipo-glandular GYN treated by liposuction combined with glandectomy in the Department of Plastic Surgery, Zhongshan Hospital Affiliated to Dalian University and Henan Plastic Surgery and Aesthetic Hospital were retrospectively analyzed. Based on the medical records, color ultrasound was performed on the patient’s breast before surgery, which was determined to be GYN (more than 50% glandular tissue). A 3 mm long incision was made at the lower boundary of the surgical range, through which the adipose tissue in the hypertrophic region of the breast was repeatedly aspirated until a satisfactory thickness was achieved. The residual glandular tissue was removed by a semicircular arc incision under the areola, and then the areola incision was sutured in position. The blood flow, sensation, and wound healing of bilateral nipples and areola were observed after surgery, and the morphology of bilateral thorax and scar of incision were followed up. Results: A total of 15 GYN patients aged 18 to 35 years with body mass index of 23.8 to 26.5 kg/m2 (mean = 24.8 kg/m2) were included in this study. The average intraoperative liposuction volume of unilateral breast was 170 mL (150–200 mL), the average glandectomy volume was 115 g (95–125 g), and the average blood loss was about 40 mL (15–75 mL). Postoperative hypertrophic breast volume decreased significantly, and no complications such as hematoma, infection, skin ischemic necrosis, or sensory disturbance occurred in the nipple and areola, during the healing process. The patients were followed up for 3 to 6 months, and the bilateral thorax was smooth, symmetrical, and natural in contour. The incision was concealed, and the scar was not obvious. Conclusion: Liposuction combined with subareolar incision glandectomy in the treatment of Simon Grade Ⅲ adipo-glandular GYN is safe. The postoperative chest contour is smooth and natural, and the scar is small and invisible, which achieves good aesthetics.

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Section: Discussionmentioning

confidence: 99%

Clinical Study of Liposuction Combined with Subareolar Incision Adenectomy for Gynecomastia

Sun¹,

Shao²,

Weng³

2023

JCNR

View full text Add to dashboard Cite

show abstract

“…Surgical simulation allows development of these skills, reducing mistakes, shortening surgical time, and improving results in vivo. 4 We performed a surgical simulation experimental study, evaluating traditional and modified auricular templates as guides for carving ear frameworks on Ipomoea batatas, comparing and analyzing the obtained results.…”

Section: A Modified Template For Microtia Reconstruction Tested By Su...mentioning

confidence: 99%

“…A similar technique described, again, the use of a 60-cc syringe, but in these authors' hands it yielded a nipple-areola complex measuring closer to 30 mm in diameter. 4 The present article presents a novel technique that uses the back of the plunger of a 30-cc syringe. Measuring approximately 25.5 mm in diameter, it yields a nipple-areola complex that more closely resembles the ideal dimensions found in the literature.…”

Section: When To Operate On Colleagues? An Unspoken Ethical Dilemma A...mentioning

confidence: 99%