Surgical Strategies in the Treatment of Gynecomastia Grade I--II: The Combination of Liposuction and Subcutaneous Mastectomy Provides Excellent Patient Outcome and Satisfaction.
In: Breast Care, Jg. 10 (2015-06-01), Heft 3, S. 184-188
Online
academicJournal
Zugriff:
Background: Gynecomastia (GM) is a benign condition with glandular tissue enlargement of the male breast. GM is classified into 4 grades of increasing severity. We describe a series of GM grade I--II, diagnosed, treated surgically and analyzed regarding feasibility, complication rate, and satisfaction. Methods: From 2005 to 2012, a chart review was performed for 53 patients. Preoperative examination included endocrine and urological examination and exclusion of other pathological conditions. The surgical technique consisted of liposuction through an inframammarian-fold incision and excision of the glandular tissue by a minimal periareolar approach. Results: A total number of 53 male patients with 104 breasts were available for analysis. By liposuction, a median of 300 ml (range: 10-1000 ml) was aspirated from each breast and 25.1 g (range: 3-233 g) gland tissue was resected. Surgery lasted between 25 and 164 min per patient (median: 72 min). 2 postoperative hemorrhages occurred (n = 2, 3.8%). 2 patients underwent reoperation due to cosmetic reasons (n = 2, 3.8%). Conclusions: This analysis demonstrates that treatment of GM grade l-ll can easily be performed by liposuction combined with subcutaneous resection of the glandular tissue as a minimally invasive and low-impact surgical treatment with a low rate of complications and excellent patient satisfaction. Preoperative workup is important to rule out specific diseases or malignancy causing the GM. [ABSTRACT FROM AUTHOR]
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Surgical Strategies in the Treatment of Gynecomastia Grade I--II: The Combination of Liposuction and Subcutaneous Mastectomy Provides Excellent Patient Outcome and Satisfaction.
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Autor/in / Beteiligte Person: | Schröder, Lars ; Rudlowski, Christian ; Walgenbach-Brünagel, Gisela ; Leutner, Claudia ; Kuhn, Walther ; Walgenbachd, Klaus-Jürgen |
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Zeitschrift: | Breast Care, Jg. 10 (2015-06-01), Heft 3, S. 184-188 |
Veröffentlichung: | 2015 |
Medientyp: | academicJournal |
ISSN: | 1661-3791 (print) |
DOI: | 10.1159/000381152 |
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