A systematic approach to the surgical treatment of gynaecomastia

Fruhstorfer, Birgit; Malata, Charles M.

doi:10.1016/s0007-1226(03)00111-5

Cited by 127 publications

(76 citation statements)

References 31 publications

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“…A practical approach to the surgical management of gynecomastia, should take into account breast size, consistency, skin excess and skin quality. However generally it is not recommended until the testis has reached adult size, because if surgery is performed before achieving puberty, breast tissue may regrow [44][45][46][47].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Childhood Gynecomastia: A Mini Review

Jurayyan¹

2016

Int J Clin Endocrinol Metab

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Section: Surgical Treatmentmentioning

confidence: 99%

Childhood Gynecomastia: A Mini Review

Jurayyan¹

2016

Int J Clin Endocrinol Metab

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“…3,4 Two treatment options are medical therapy and surgical excision. 5 Medical therapy is probably most effective during the active proliferative phase of gynecomastia. Danazol, Clomiphene, Testolactone and Tamoxifen have been used.…”

Section: Introductionmentioning

confidence: 99%

Gynecomastia our surgical experience using liposuction and minimal invasive surgical excision and its psychological benefits to young patients

Nakade¹,

Zade²,

Mehta

et al. 2017

Int J Res Med Sci

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Background: Gynecomastia is a benign enlargement of the male breast usually bilateral sometimes unilateral resulting from proliferation of glandular component of the breast. It is defined clinically by presence of rubbery or firm mass extending from nipple. The glandular tissue grows under influence of hormonal stimulation and is tender. Gynecomastia frequently presents social. Psychological, difficulties as low esteem and shame to sufferer. During adolescence many young males have gynecomastia and they are eager to do surgery of gynecomastia. Aims and objectives of the study was to correct deformity restoring normal contour to the chest, maintaining viability of nipple and areola. Also avoiding excess scarring and preventing saucer type deformity. To relieve emotional discomfort, psychological distress, and intolerable pain, to relieve shame in going to society, social gathering even doing marriage. To study effect of adding liposuction to surgical excision. Methods: This is two-year study of 20 cases of gynecomastia. Clinical and Laboratory findings were normal. preoperatively patients are selected by their complaints, discomfort, psychological effects, shame, depression, anxiety and size of gynecomastia. In surgery, we have done is liposuction thoroughly after infiltration with adequate amount of ringer solution and Inj adrenaline 1:100000 concentration. In gynecomastia with group 1 and 2 we used websters incision, in group 2b we used extended websters incision if required. In very large gynecomastia with skin excess we have done breast reduction with liposuction and free nipple grafting in one case and medial pedicle based, superiorly based flap in two cases, two cases with circumareolar skin excision and liposuction in group 2 b case. In rest 16 cases we have done liposuction, excision through websters incision. Results: In our study of 20 cases done in two years, in our department of plastic surgery at NKPSIMS, one was unilateral and rest 19 were bilateral gynecomastia cases. In all cases liposuction as treatment modality used and has given satisfactory outcome in 18 (90%) cases out of 20, 3 (10%) cases want more liposuction and if possible re excision. Average hospital stay was 2 days. Post-operative recovery was good in majority cases but in 2 ((10%) cases post op numbness and ischemia at margin of areola occurred treated conservatively. In one case (5%). dehiscence of wound healed Conservatively. All cases of breast reduction were healed well. All cases benefited psychologically by surgery and their self-image in society improved lot. Conclusions: The problem of excessive fat and fibroglandular tissue is managed by liposuction and excision through websters incision. In high grade gynecomastia of grade 3 we have done breast reduction. This has corrected deformity, restoring normal contour to majority of patients and they improved psychologically, and their self-image improved and so their social life.

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“…Esta é a patologia de mama mais frequente nos homens 2 , estando presente em cerca de 38% dos pacientes jovens 3 . Clinicamente, trata-se de uma massa firme e elás-tica, situada atrás e ao redor do complexo aréolo-mamilar (CAM).…”

Section: Introductionunclassified

“…O tratamento clínico é recomendado durante a fase de proliferação do tecido glandular, sendo realizada a abordagem cirúrgica em caso de falha 3 .…”

Section: Introductionunclassified

“…As principais indicações cirúrgicas são a reconstrução do contorno masculino do tórax, o diagnóstico de lesões nodulares suspeitas 4 e a presença de ginecomastia dolorosa 3 . As deformidades estéticas causadas pela ginecomastia acarretam importante impacto psicológico e social nos pacientes, comprometendo a qualidade de vida, o que, na maioria das vezes, leva o paciente a procurar tratamento.…”

Section: Introductionunclassified

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Tratamento cirúrgico da ginecomastia: uma análise criteriosa

Dornelas¹,

Machado²,

Gonçalves³

et al. 2010

Rev. Bras. Cir. Plást. (Impr.)

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Tratamento cirúrgico da ginecomastia: uma análise criteriosaSurgical treatment of gynecomastia: a critical analysis RESUMO Introdução: A ginecomastia é o aumento no tamanho da glândula mamária masculina, que pode ser fisiológico ou patológico, sendo condição passível de correção. Objetivo: Analisar o tratamento cirúrgico da ginecomastia, apontando suas principais complicações. Método: Duzentos e oitenta e quatro pacientes foram submetidos a cirurgia para correção da ginecomastia entre janeiro de 1998 e setembro de 2008, sendo 94,37% dos pacientes graus I e II e 5,63%, grau III. Resultados: Em relação ao total de pacientes, 3,87% apresentaram seroma e 2,11%, hematoma (p<0,001). A aná-lise dos pacientes graus I e II revela que 0,74% apresentaram cicatrizes hipertróficas nas incisões de lipoaspiração (p<0,001). Dentre os pacientes submetidos à técnica de Davidson, 18,75% apresentaram alargamento do complexo aréolo-mamilar (p=0,108) e foram submetidos a cirurgia para correção. Conclusão: As técnicas utilizadas para correção de ginecomastia se mostraram eficazes e seguras.Descritores: Ginecomastia/cirurgia. Mama/cirurgia. Masculino. SUMMARY Introduction:The gynecomastia is an increase in male breast and an important impact on quality of life. However, it is a condition likely to be modified. Objective: To analyze the surgical treatment of gynecomastia pointing the major complications. Methods: Two hundred and eighty-four patients underwent surgery to correct gynecomastia from January 1998 to September 2008, 94.37% of patients were grade I and II and 5.63%, grade III. Results: 3.87% patients had seromas and 2.11%, hematoma (p<0.001). Patients grade I and II had keloids in incision of liposuction (0.74%) and patients grade III presented areolar enlargement. Conclusion: The techniques used for treatment of gynecomastia were considered safe and effective with low complication rate.Descriptors: Gynecomastia/surgery. Breast/surgery. Male.

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A systematic approach to the surgical treatment of gynaecomastia

Cited by 127 publications

References 31 publications

Childhood Gynecomastia: A Mini Review

Childhood Gynecomastia: A Mini Review

Gynecomastia our surgical experience using liposuction and minimal invasive surgical excision and its psychological benefits to young patients

Tratamento cirúrgico da ginecomastia: uma análise criteriosa

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