Alternatives for the Surgical Correction of Severe Gynecomastia

Botta, Samuel A.

doi:10.1007/s002669900168

Cited by 22 publications

(10 citation statements)

References 7 publications

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“…A number of aesthetic surgical techniques are available for management of gynaecomastia and surgeons often find it difficult to choose the technique that will achieve the best results for a given patient [16]. Liposuction techniques are enough for some forms of gynaecomastia; others require open procedures using either intra-areolar or extra-areolar incisions [3].…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment of Gynaecomastia: A Prospective Study in 75 Patients

Tolba¹,

Nasr²

2015

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Introduction: Gynaecomastia is a benign enlargement of male breast; many techniques have been described for management but none have gained universal acceptance. We discuss the outcomes of the surgical management of gynaecomastia and assess the morbidity and complication rates associated with the procedure to determine whether certain surgical techniques produce better outcomes. Materials and Methods: 75 patients with gynaecomastia were operated in our hospital during the period from Jan. 2009 to Jan. 2015. Results: A total of 140 breasts were operated on during the study period. Patients underwent either liposuction alone (20 breasts), excision alone (70 breasts), both excision and liposuction (36 breast) or skin reduction procedure (14 breasts). 19 operated breasts (13.4%) experienced some form of complications. Minor complications included seroma (4 patients), superficial wound dehiscence (3 patients) and two patients developed haematomas requiring evacuation in theatre. Unsatisfactory cosmotic result was present in 10 breasts and surgical revision was done in 5 breasts. Simon grade 111 breasts experienced the highest complication rate. Conclusion: The study has found that moderate sized gynaecomastia whether true or pseudo gynaecomastia with mild to moderate breast redundancy can be managed easily and effectively by liposuction alone or combined with glandular resection while the conventional infraareolar subcutaneous mastectomy still gives satisfactory results and with no need to remove extra skin. On the other hand, large gynaecomastia with severe breast redundancy can be treated effectively by the inferior pedicle technique without vertical scar.

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Section: Discussionmentioning

confidence: 99%

“…Superiorly or inferiorly based pedicle areolar flaps and free nipple techniques have been described for stage 3 gynaecomastia [3] [11] [16]. Le Jour has popularised a vertical mammaplasty technique without submammary scar for mastopexy and reduction of the female breast [46].…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Gynaecomastia: A Prospective Study in 75 Patients

Tolba¹,

Nasr²

2015

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“…Zusätzlich ist eine kurzstreckige Neupositionierung und Verkleinerung des MAK möglich. Dabei wird diese Schnitttechnik in der Literatur ohne [11,22,38,43] und mit [7,17,35,37,45]…”

Section: Zirkumareoläre Schnittführungunclassified

Bruststraffungen beim Mann nach starkem Gewichtsverlust

Stoff¹,

Reichenberger²,

Richter³

2006

Handchir Mikrochir plast Chir

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Morbid obesity is an increasing problem of our present affluent society. Simultaneously with a duplication of the number of obese patients in the course of the 20th century, a significant and continual increase can be recognized in patients introducing, after massive weight loss, to plastic surgeons due to improvements in bariatric surgery can be recognized simultaneously. The male breast, a body-region that symbolizes manhood and strength and often remaining as a deflated skin-envelope, is one of the most disturbing body regions, causing extreme lack of confidence in post-weight-loss patients. In this context there are alternative procedures which can be applied locally or in combination with other body-contouring procedures in flanking regions.

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“…From suction-assisted lipectomy, 4 for fatty forms, together with the eventual surgical excision of glandular tissue, when hypertrophic, 5 and finally to those procedures employed for female mastopexy and breast reduction, where skin redundancy is estimated to be excessive to contract by the simple liposuction technique, and when wide elevation of nipple-areola complex is necessary. 6,7 According to the classification by Simon et al, 8 more invasive techniques should be reserved to type III gynecomastia.…”

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confidence: 99%

Our Experience With the So-called Pull-Through Technique Combined With Liposuction for Management of Gynecomastia

Bracaglia¹,

Fortunato²,

Gentileschi³

et al. 2004

Annals of Plastic Surgery

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Gynecomastia is a benign enlargement of male breast, common in adolescents and adults. To treat this deformity, we have been carrying out liposuction through small cutaneous incisions placed in the axilla and on the sternum. If necessary, we performed a surgical excision of glandular tissue through a periareolar incision. From 1995, we started to perform surgical excision of glandular tissue, if necessary, through the small incisions made for liposuction, thus avoiding the periareolar scars. We describe our experience with this technique, which we believe excellent for the correction of glandular and fatty glandular gynecomastia, obtaining excellent esthetic results and minimal local scarring.

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Alternatives for the Surgical Correction of Severe Gynecomastia

Cited by 22 publications

References 7 publications

Surgical Treatment of Gynaecomastia: A Prospective Study in 75 Patients

Surgical Treatment of Gynaecomastia: A Prospective Study in 75 Patients

Bruststraffungen beim Mann nach starkem Gewichtsverlust

Our Experience With the So-called Pull-Through Technique Combined With Liposuction for Management of Gynecomastia

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