Correction of extreme gynaecomastia

Wray, R. Christie; Hoopes, John E.; Davis, Gerald M.

doi:10.1016/0007-1226(74)90060-5

Cited by 46 publications

(12 citation statements)

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“…Traditionally, a skin-resecting operation has been used for the treatment of gynecomastia with excess skin. Common procedures described are the concentric skin excision, inverted-T, and lateral wedge (some form of the Dufourmental-Mouly procedure) [15][16][17][18][19] mastectomy. These procedures will correct the deformity, but the scars are frequently unsightly, and there is the risk for nipple deformities (Fig.…”

Section: Discussionmentioning

confidence: 99%

Gynecomastia

Wiesman

Lehman

Parker

et al. 2004

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 99%

Gynecomastia

Wiesman

Lehman

Parker

et al. 2004

Annals of Plastic Surgery

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“…In the following years, numerous approaches for resecting the excess skin were described. Skin has been removed as an ellipse, and the nipple transposed on a pedicle (2, 3) or repositioned as a fullthickness graft (14). Redundant skin has also been excised concentrically around the nipple to avoid extra-areolar scarring; keeping it on a superior (15,16) or central (17) pedicle.…”

Section: Discussionmentioning

confidence: 99%

Adipose Tissue Measurement in Gynecomastia With Computerized Tomography

Çil¹,

Babayiğit²,

Aktas³

et al. 2012

Erciyes Med J

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Objective: The purpose of this study is to evaluate the ratio of gynecomastic adipose tissue (GAT) to total gynecomastic tissue (TGT) with computerized tomography (CT) and determine its benefits for selection of surgical technique in gynecomastia. Material and Methods:Prospectively; 20 young patients with gynecomastia who were treated between 2006 and 2009 years were included in the study. Patients' mean age was 22 years (19-28). Nine patients were treated with subcutaneous mastectomy (13 breasts) and 7 patients (13 breasts) were treated with suction assisted lipectomy (SAL). Four patients (7 breasts) were operated with subcutaneous mastectomy and SAL. An experienced radiologist used standard software to determine the ratio of gynecomastic adipose tissue (GAT) to total gynecomastic tissue (TGT) in all patients. Results:The mean GAT/TGT ratio was 0.7 (0.6-0.9) in patients treated with SAL and 0.2 (0.1-0.3) treated with subcutaneous mastectomy. The mean GAT/TGT ratio in patients treated with SAL combined with subcutaneous mastectomy was 0.4 (0.3-0.5). Thedifference between all surgical protocols was statistically significant (p<0.05). Conclusions:We suggest that CT analysis is a useful tool for selection of gynecomastia surgery protocol. If the patient's GAT/ TGT ratio is larger than 0.6; SAL should be preferred as the method for gynecomastia treatment.Amaç: Bu çalışmada; bilgisayarlı tomografi ile ölçülen jinekomastik yağ dokusu ve toplam jinekomastik doku oranının ameliyat yöntemi seçiminde faydalı olup olmadığı araştırıldı. Gereç ve Yöntemler: Çalışmaya 2006-2009 yılları arasındajinekomasti nedeniyle tedavi edilen 20 genç hasta dahil edildi. Hastaların yaş ortalaması 22 (19-28 yıl) idi. Hastaların 9'u (13 meme) mastektomi, 7'si (13 meme) yağ emme yöntemi ile tedavi edildi. Dört hasta (7 meme) yağ emme yöntemi ve subkutan mastektomi ile tedavi edildi. Radyoloji uzmanı tarafından jinekomastik dokudaki yağ oranının toplam jinekomastik dokuya oranı hesaplandı. Bulgular: Yağ emme yönteminin yeterli olduğu hastalarda jinekomastik dokudaki yağ oranının toplam jinekomastik dokuya oranı 0,7 (0,6-0,9), mastektomili hastarda 0,2 (0,1-0,3), kombine tedavi gerektiren hastalarda 0,4 (0,3-0,5) olarak bulundu. Farklı cerrahi protokoler uygulan hastalardaki hesaplanan oranlar istatiksel olarak anlamlı düzeyde farklı bulundu (p<0,05). Sonuç: Çalişma sonucunda; jinekomastik doku içeriğinin tomografi ile ameliyat öncesi değerlendirilmesinin uygulanacak cerrahi yöntemin belirlenmesinde faydalı olacağı görüldü. Jinekomastik dokudaki yağ oranının toplam jinekomastik dokuya oranı 0,6'dan fazla olan hastalarda yağ emme yönteminin seçilmesi faydalı olacaktır.Anahtar kelimeler: Bilgisayarlı tomografi, Jinekomasti, Lipektomi, X ışını Erciyes Med J 2012; 34(1): 15-9 •

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“…They encompass Simon, Hoffman, and Kahn's simple mastectomy ) and Wray, Hoopes, and Davis' en bloc excision of skin and subcutaneous tissues at the inframammary fold (Wray et al, 1974). While Webster's intraareolar incision is placed inside the inferior border of the nipple-areola complex, the periareolar incision is made along the inferior margin of the areola.…”

Section: Discussionmentioning

confidence: 99%

Inferior Pedicle Reduction Technique With Nipple Repositioning for Huge Gynecomastia

Salama.¹,

Ahmed²

2017

Int. J. Curr. Res. Med. Sci.

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Background : Gynecomastia (GM) is a common benign problem affecting males. Many surgical techniques have been described. We discuss in this study a technique used for large redundant male breast using deepithelialized inferior pedicle with nipple areola repositioning. Patients and method: The study included 10 patients (with total 20 breasts) with huge gynecomastia treated surgically using inferior pedicle technique. They were operated in Al Azhar university hospital between May 2015 and April 2017. All the patients have bilateral GM with age range from 30 to 48. The operation started by deepithelialization of the ellipse and dissection between the inferior glandular pedicle and chest wall removing breast tissue as we need. The superior breast flap was raised with thickness not more than 1-2 cm. A disc of skin and subcutaneous fat then removed at the future nipple-areola site at upper flap. The inferior pedicle pulled up under the upper flap and the nipple areola complex of the lower flap was then repositioned at the new site and sutures using prolene 5/0. Suction drain was used in all patients. Results: The operated 20 breasts ended by good asthetic results and patient satisfaction with only 3 breasts showed wound infection and 2 breasts showed seroma. Conclusion: The inferior pedicle method for the management of Simon grade  gynaecomastia is a satisfactory method for treatment of these severe cases.

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Correction of extreme gynaecomastia

Cited by 46 publications

References 4 publications

Gynecomastia

Gynecomastia

Adipose Tissue Measurement in Gynecomastia With Computerized Tomography

Inferior Pedicle Reduction Technique With Nipple Repositioning for Huge Gynecomastia

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