Anzeige
Erschienen in:
19.05.2022 | Surgical Techniques and Innovations
Combined Traditional Lipoaspiration and Modified “Pull-Through” Technique for the Treatment of Gynecomastia: Our Experience
Erschienen in: Indian Journal of Surgery | Ausgabe 2/2023
Einloggen, um Zugang zu erhaltenAbstract
Gynecomastia is a unilateral or bilateral enlargement of male breast. Many surgical techniques have been proposed depending on the type and severity of the breast deformity. According to the classification by Simon et al., we introduced a modified pull-through technique suitable for I, II, and III grade. With this method, we achieved a good aesthetic result with minimally invasive surgery and at the same time, we obtained complete en bloc removal of the breast gland. From January 2010 to March 2018, 32 gynecomastia patients (ranging from I to III grade of Simon’s classification) were enrolled. Eighteen patients underwent a combined treatment with traditional suction-assisted lipoplasty and en bloc removal of the gland. The other 14 patients were treated with different modalities. Follow-up was performed every week in the first month, then monthly for 3 months, at 6 and 12 months post-op. We obtained complete en bloc removal of gland with satisfactory breast contour for all of the patients; no nipple retraction or altered pigmentation of the skin was observed. Only one patient reported temporary nipple-areola complex (NAC) deformity. Our technique has proven to be successful in the removal of the entire gland en bloc. It respects the anatomical planes and it ensures excellent aesthetic results with minimal complication rate.