Minimally invasive esthetic procedures of the male breast

Wollina, Uwe; Goldman, Alberto

doi:10.1111/j.1473-2165.2011.00548.x

Cited by 10 publications

(4 citation statements)

References 37 publications

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“…In men, estrogen production results through aromatase activity to estradiol and estrone. In patients affected by gynecomastia, an increased local tissue sensitivity to estrogen metabolites is present [3]. Gynecomastia can affect normal self-esteem and sexual identity and often patients feel ashamed of their bodies during normal social activities.…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%

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

2022

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“…LL ideal kilosunda ya da ideal kilosuna yakın olan kişilerde bölgesel yağlanmalarda en iyi sonucu verir. Bunun yanı sıra LL; lipom 10,11 , jinekomasti [12][13][14] , aksiler hiperhidroz, malar bölgede intersitisyel sıvı poşları ve sellülit tedavi etmek içinde kullanılabilir 5 . Hastanın beklentilerinin gerçekçi olmaması, gebelik ve laktasyon dönemi, lidokain alerjisi, uygulanacak anestezik işleme duyarlılık durumlarında LL uygulaması önerilmemektedir 15 .…”

Section: Endikasyonları Ve Kontrendikasyonlarıunclassified

Lazer Lipoliz

...

2012

Turkderm

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ÖzetLiposakşın klinik pratikte, en sık yapılan kozmetik cerrahi uygulamalardan birisidir. Son dönemlerde bu alanda kullanıma giren yardımcı yöntemlerden biri ise lazer lipoliz uygulamalarıdır. Bu teknik ile farklı dalga boylarındaki lazer enerjisi lipoliz ve hemostaz yaparken, neokollagenezi de stimüle etmektedir. Lazerin yağ dokuda kullanımı üzerine yapılmış orijinal çalışmalar gözden geçirilmiş ve değerlendirilmiştir. Bazı yazarlar lazer lipoliz uygulamasının genel anestezi altında yapılan geleneksel yöntemlere nazaran daha az yan etkili olduğunu öne sürmektedir. Ancak literatürde bu iki metodu objektif şekilde karşılaştıran çalışma eksiği vardır. Lazer lipoliz tecrübelerinin artması, daha etkili ve güvenli tekniklere ulaşmamızı sağlayacaktır. Sum maryIn clinical practice, liposuction is one of the most commonly performed cosmetic surgical procedure. Recently laser lipolysis is the latest adjunct procedure to liposuction. This technique employs laser energy with different wavelenghts to induce lipolysis and hemostasis and stimulate neocollagenesis. Original articles that studied the application of laser to adipose tissue were reviewed and included. Several authors claimed that laser lipolysis offers fewer side effects than traditional liposuction performed under general anesthesia. A true objective comparison within these two methods is missing in the literature. As laser lipolysis experience grows, it will help to achive more efficient and safer techniques.

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“…The etiology of gynecomastia is heterogeneous. Although several secondary forms of gynecomastia have been identified, more than 80% of the disorders are idiopathic and therefore related to a hypersensitivity of the glandular estrogen receptors present in the breast parenchyma [5,6]. Gynecomastia is considered a psychological threat to normal self-esteem and sexual identity and often patients feel ashamed of their bodies during normal social activities [7,8].…”

Section: Introductionmentioning

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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Minimally invasive esthetic procedures of the male breast

Cited by 10 publications

References 37 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

Lazer Lipoliz

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

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