liposuction assisted de-epithelialization pull-through technique for management of grade IIB and III gynecomastia | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 27 November 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.249082.1318 | ||
| Authors | ||
| Rowan Almoddather Elhadidy* 1; Ahmed abdelmonem ibrahim2; Omar Osama Shoman3; Ahmed Abdel Fattah El sherifa3 | ||
| 1Plastic, Burn, and Reconstructive surgery department, Faculty of medicine, Mansoura University Hospitals | ||
| 2general surgery department, faculty of medicine, Mansoura University | ||
| 3Plastic, Burn, and Reconstructive surgery department, Faculty of medicine, Mansoura university. | ||
| Abstract | ||
| Background: Gynecomastia is an abnormal and benign enlargement of male breast tissue. It occurs as a result of an imbalance between estrogen and androgen levels that may be due to a physiological or pathological cause. Multiple surgical approaches have been recommended to manage this problem. It is widely accepted that liposuction solely or when combined with subcutaneous mastectomy is effective for the management of low to intermediate grades of gynecomastia. However, liposuction along with subcutaneous mastectomy gives unsatisfactory results in high grades where there is excess redundant skin that needs excision. Several skin incisions have been mentioned in literature for excision of excess skin, however, some of these are accompanied by unaesthetic scars. OBJECTIVE: To assess the outcome of surgical correction of high grades of gynecomastia in a single-stage procedure. METHOD: We conducted a prospective analysis on 20 patients with grades IIb or III gynecomastia who underwent single-stage procedures. Photographs were clinically evaluated by two independent surgeons with respect to chest contour, symmetry, scar, and residual ptosis. Patient satisfaction was surveyed regarding chest contour and scar appearance. RESULTS: Statistical analysis revealed a significant improvement in patient’s clinical measurements after operation, good doctor’s scoring and patient satisfaction scoring among studied cases, and accepted complication rates. CONCLUSION: The current approach eliminates the need for skin resection in a second surgery, permits immediate skin recontouring, and achieves an acceptable aesthetic scar. | ||
| Keywords | ||
| Gynecomastia; circum-areolar incision; gland excision; grades IIB and III; scar | ||
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