Comment to “Postero-Inferior Pedicle Surgical Technique for the Treatment of Grade III Gynecomastia”

Innocenti, Alessandro; Melita, Dario; Mori, Fumiaki; Ciancio, Francesco; Innocenti, Marco

doi:10.1007/s00266-017-0849-4

Cited by 23 publications

(3 citation statements)

References 5 publications

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“…Several biases can be found, mostly related to the high variations in proposed treatments and clinical classifications. In fact, several articles proposed specific treatments for graded gynecomastia patients, but the large variations of gynecomastia classifications cannot guarantee a statistical comparison and therefore only the type of surgical approach, despite the grade of the disease, have been considered [114][115][116]. Moreover, no comparison of patients' postoperative satisfaction has been performed because of the absence of evaluation in some papers and for the different used methods for evaluation [117][118][119][120][121].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Complications for Different Approaches in Gynecomastia Correction: A Systematic Review of the Literature

2022

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Background Gynecomastia is nowadays a very common disease, affecting a large cohort of patients with different ages. The aim of this literature review is to assess the incidence of complications with all proposed techniques and for combined procedures versus single approach procedures in gynecomastia correction. Materials and Methods A systematic review of the literature was performed to identify all reported techniques for gynecomastia correction covering a period from January 1, 1987 to November 1, 2020. For all selected papers, demographic data, proposed technique, and complications’ incidence have been recorded. Results A total number of 3970 results was obtained from database analysis. A final total number of 94 articles was obtained for 7294 patients analyzed. Patients have been divided into three groups: aspiration techniques, consisting in 874 patients (11,98%), surgical excision techniques, consisting in 2764 patients (37,90%), and combined techniques, consisting in 3656 patients (50,12%). Complications have been recorded for all groups, for a total number of 1407, of which 130 among “Aspiration techniques” group (14,87%), 847 among “Surgical excision techniques” group (30,64%), and 430 in “Combined techniques” group (11,76%). Conclusions Several techniques have been proposed in the literature to address gynecomastia, with the potential to greatly improve self-confidence and overall appearance of affected patients. The combined use of surgical excision and aspiration techniques seems to reduce the rate of complications compared to surgical excision alone, but the lack of unique classification and the presence of several surgical techniques still represents a bias in the literature review. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Discussionmentioning

confidence: 99%

Incidence of Complications for Different Approaches in Gynecomastia Correction: A Systematic Review of the Literature

2022

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“…In subgroup II b, extra-skin recontouring requires circumareolar approach, wide undermining of skin flap with liposuction of peripheral fatty areas and quilting stiches to recontour the redundant skin [25]. Although extra areolar scars can manage the extra-skin, in these patients a second look should be considered to optimize the final result; thus to maintain the circumareolar approach, limiting extra areolar scars to a small cohort of patients where a crescent aspect of the breast can interfere with final outcome [26].…”

Section: Group IImentioning

confidence: 99%

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

2021

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Background Gynecomastia is a common finding in males. Clinical aspect varies widely in world populations showing peculiar hallmarks according to different body shapes reflecting personal expectations; therefore, a surgical plan must be tailored on individual basis to all type of patients. Materials and Method A total of 522 patients, treated for bilateral gynecomastia from January 2007 to January 2019, were included and reviewed in this retrospective study. Considering physical status BMI, muscular trophism, hypertrophy of the mammary region, nipple-areola disorder, gland and skin cover consistency, a four-tier classification system has been used to classify the deformity and to assess a surgical plan. In all cases, a subcutaneous mastectomy was performed under direct vision. Results No recurrence of the deformity was observed as well as major complications such as necrosis, and high level of satisfaction was observed in all groups. No breast cancer was found at the histological examinations Operative time ranged from 25 minutes up to 120 minutes and hospitalization time ranged from 1 to 3 days. Conclusion Since the physical status is strictly related to the clinical features of the disorder, a comprehensive classification system and a reconstructive algorithm are proposed.

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“…[2,3] Since the optimization of male chest recontouring represents the main purpose in the treatment of gynecomastia disorder, and although NAC graft could represent a risk in NAC survival, it should be considered to obtain the principal objective of this type of surgery. [4][5][6] Were the two patients who underwent secondary outpatient liposuction procedure to correct central fullness contour abnormalities due to the inferior-based NAC pedicle bulging?…”

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confidence: 99%

Post Bariatric Male Chest Re-Shaping Using L-Shaped Excision Technique

Innocenti

Tarantino

2022

Aesth Plast Surg

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Comment to “Postero-Inferior Pedicle Surgical Technique for the Treatment of Grade III Gynecomastia”

Cited by 23 publications

References 5 publications

Incidence of Complications for Different Approaches in Gynecomastia Correction: A Systematic Review of the Literature

Incidence of Complications for Different Approaches in Gynecomastia Correction: A Systematic Review of the Literature

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

Post Bariatric Male Chest Re-Shaping Using L-Shaped Excision Technique

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