Combined approach for gynecomastia

Background: Gynecomastia is a deformity of male chest. Treatment of gynecomastia varied from direct surgical excision to other techniques (mainly liposuction) to a combination of both. Skin excision is done according to the grade. In this study, experience of using liposuction adjuvant to surgical e...

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Main Author: El-Sabbagh, Ahmed Hassan
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2016-02-01
Series:GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
Subjects:
Online Access:http://www.egms.de/static/en/journals/iprs/2016-5/iprs000089.shtml
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author El-Sabbagh, Ahmed Hassan
author_facet El-Sabbagh, Ahmed Hassan
author_sort El-Sabbagh, Ahmed Hassan
collection DOAJ
description Background: Gynecomastia is a deformity of male chest. Treatment of gynecomastia varied from direct surgical excision to other techniques (mainly liposuction) to a combination of both. Skin excision is done according to the grade. In this study, experience of using liposuction adjuvant to surgical excision was described. Patients and methods: Between September 2012 and April 2015, a total of 14 patients were treated with liposuction and surgical excision through a periareolar incision. Preoperative evaluation was done in all cases to exclude any underlying cause of gynecomastia. Results: All fourteen patients were treated bilaterally (28 breast tissues). Their ages ranged between 13 and 33 years. Two patients were classified as grade I, and four as grade IIa, IIb or III, respectively. The first showed seroma. Partial superficial epidermolysis of areola occurred in 2 cases. Superficial infection of incision occurred in one case and was treated conservatively. Conclusion: All grades of gynecomastia were managed by the same approach. Skin excision was added to a patient that had severe skin excess with limited activity and bad skin complexion. No cases required another setting or asked for 2 opinion.
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spelling doaj.art-f6b7b8129bfe4ec8aec5d481b55857ba2022-12-21T17:50:33ZdeuGerman Medical Science GMS Publishing HouseGMS Interdisciplinary Plastic and Reconstructive Surgery DGPW2193-80912016-02-015Doc1010.3205/iprs000089Combined approach for gynecomastiaEl-Sabbagh, Ahmed Hassan0Plastic Surgery Center, Faculty of Medicine, Mansoura University, Mansoura, EgyptBackground: Gynecomastia is a deformity of male chest. Treatment of gynecomastia varied from direct surgical excision to other techniques (mainly liposuction) to a combination of both. Skin excision is done according to the grade. In this study, experience of using liposuction adjuvant to surgical excision was described. Patients and methods: Between September 2012 and April 2015, a total of 14 patients were treated with liposuction and surgical excision through a periareolar incision. Preoperative evaluation was done in all cases to exclude any underlying cause of gynecomastia. Results: All fourteen patients were treated bilaterally (28 breast tissues). Their ages ranged between 13 and 33 years. Two patients were classified as grade I, and four as grade IIa, IIb or III, respectively. The first showed seroma. Partial superficial epidermolysis of areola occurred in 2 cases. Superficial infection of incision occurred in one case and was treated conservatively. Conclusion: All grades of gynecomastia were managed by the same approach. Skin excision was added to a patient that had severe skin excess with limited activity and bad skin complexion. No cases required another setting or asked for 2 opinion.http://www.egms.de/static/en/journals/iprs/2016-5/iprs000089.shtmlgynecomastialiposuctionperiareolar incisionsurgical excision
spellingShingle El-Sabbagh, Ahmed Hassan
Combined approach for gynecomastia
GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
gynecomastia
liposuction
periareolar incision
surgical excision
title Combined approach for gynecomastia
title_full Combined approach for gynecomastia
title_fullStr Combined approach for gynecomastia
title_full_unstemmed Combined approach for gynecomastia
title_short Combined approach for gynecomastia
title_sort combined approach for gynecomastia
topic gynecomastia
liposuction
periareolar incision
surgical excision
url http://www.egms.de/static/en/journals/iprs/2016-5/iprs000089.shtml
work_keys_str_mv AT elsabbaghahmedhassan combinedapproachforgynecomastia