Indications for and results of surgical therapy for male gynecomastia

Colombo-Benkmann, Mario; Buse, Benedikt; Stern, J.; Herfarth, Christian

doi:10.1016/s0002-9610(99)00108-7

Cited by 70 publications

(42 citation statements)

References 6 publications

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“…The vast majority of gynecomastia patients (75-80 %) are grades I and II patients according to Simon's classification [3,8]. Therefore, this method is a feasible procedure for the majority of gynecomastia patients.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical therapy is considered for patients with gynecomastia that does not regress spontaneously or, with medical therapy, is causing considerable discomfort or psychological distress or is long-standing (beyond a 18-24-months period) [2][3][4]. The surgical options for gynecomastia are subcutaneous mastectomy, suctionassisted lipectomy, or a combination of these approaches that are performed with different technologic devices and surgical methods [5].…”

Section: Introductionmentioning

confidence: 99%

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An Ameliorated Approach for Sharp Resection in Gynecomastia Surgery

Hoşnuter

2013

Indian J Surg

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Surgery has become the accepted standard for the majority of patients with gynecomastia to get rid of feminine-looking breast enlargement. Many surgical techniques have been proposed according to grade of gynecomastia. The sharp resection of glandular tissues is a keystone for most of them. However, technical difficulties in application and inexperience in mastectomy often lead to poor cosmetic outcomes. Over excision and saucer-like deformity, under resection, and asymmetries are most common ones among them. The author presents an ameliorated subcutaneous mastectomy method to facilitate the learning curve and to improve the esthetic results avoiding saucer-like deformity and other breast contour deformities. This method consists of an en bloc tissue dissection via superior periareolar incision and excision of fatty glandular tissue in suprafascial plan, with slicing and trimming procedure. It is possible to adjust the degree of tissue reduction during surgery; hence, it may be labeled as a "cut-as-you-go" technique. Between 2008 and 2012, 23 male patients were operated with this technique. Medical photographs and drawings were used to describe the technique. The operation resulted in smooth, symmetric breasts befitting to men in all 23 patients. No major complications were observed in any of the cases. None of the patients reported a discomfort in sensation of nipple-areolar complex. The presented technique provides high degree of patient satisfaction and excellent esthetic outcomes and is a promising choice in gynecomastia surgery with extremely low recurrence rates and easy learning curve.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Ameliorated Approach for Sharp Resection in Gynecomastia Surgery

Hoşnuter

2013

Indian J Surg

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“…Other complications of subcutaneous mastectomies included keloid formation of the scar, nipple necrosis and altered peri-areolar sensation. 4 More recently, however, other surgical techniques have been described, such as the endoscope-assisted subcutaneous mastectomy offering a smaller incision; however, this technique did not totally eliminate a potential complication of the scar on a visible part of the chest. 6 The combined peri-areolar incision and liposuction successfully removed the glandular and fatty element of the condition but, once more, the potential complications of an open procedure mentioned above remained present.…”

Section: Discussionmentioning

confidence: 99%

“…3 However, surgery for gynaecomastia is associated with significant morbidity. 4 In the last few years, the use of a vacuum-assisted biopsy device (VABD), originally introduced as a diagnostic tool for radiologically-guided, vacuumassisted, breast biopsies has proven beneficial to the treatment of gynaecomastia. 5 We report a case series of patients undergoing mammotome resection of gynaecomastia.…”

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confidence: 99%

Minimally invasive excision of gynaecomastia – a novel and effective surgical technique

Qutob

Elahi

Garimella

et al. 2010

annals

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INTRODUCTION More aesthetically acceptable treatment options have been sought to minimise the morbidity associated with open surgery for gynaecomastia. This study investigated the use of a vacuum-assisted biopsy device (VABD) and liposuction to provide minimally invasive approach. PATIENTS AND METHODS Patients diagnosed with idiopathic benign gynaecomastia referred to the Breast Care Unit of Castle Hill Hospital between June 2002 and April 2007 and requesting surgical intervention underwent VABD excision and liposuction. All patients underwent thorough investigations to exclude any underlying cause for their gynaecomastia. The procedure was carried out by a single consultant surgeon with special interest in breast surgery. An 8-G mammotome probe was advanced through a 4-mm incision positioned in the corresponding anterior axillary line to excise the glandular disc. Liposuction was performed through the same incision. Incision wounds were closed with Steristrips. A pressure dressing was applied over wound by corset and an inflatable device. RESULTS Thirty-six male patients with grade I and II gynaecomastia were recruited (22 bilateral, 14 unilateral). Average age was 33.3 years (range, 16–88 years). All underwent mammotome excision and liposuction. There were no conversions to an open procedure. The average procedure time was 50.3 min (range, 30–80 min). One intra-operative complication was recorded. The minimum follow-up time was 2 months. Thirty-four patients reported excellent satisfaction, two patients had residual gynaecomastia and needed a re-do procedure. Three patients developed small haematomas that resolved spontaneously. CONCLUSION This novel, minimally invasive, surgical approach for gynaecomastia gives excellent results with minimal morbidity.

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“…Although a majority of these cases in adolescents are considered to be either physiological gynecomastia (which often resolves as puberty continues) or pseudogynecomastia secondary to obesity, some cases of adolescent gynecomastia, particularly those in male adolescents with endocrine disorders, persist well into adulthood (16). Currently, the standard of treatment for unresolving gynecomastia is surgery (17,18); bilateral mastectomy has been performed in adolescents as young as 13 years of age (19).…”

mentioning

confidence: 99%