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Cross-chest liposuction in gynaecomastia.

Murali B, Vijayaraghavan S, Kishore P, Iyer S, Jimmy M, Sharma M, Paul G, Chavare S - Indian J Plast Surg (2011)

Bottom Line: The average period of follow-up was 15 months.Post-operative complications were reported in only two cases, with none showing long-term complications or issues specifically due to the procedure.The use of techniques like incision line drain placement and post-drain removal suturing of wounds aid in decreasing the scar.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, India.

ABSTRACT

Background: Gynaecomastia is usually treated with liposuction or liposuction with excision of the glandular tissue. The type of surgery chosen depends on the grade of the condition.

Objective: Because gynaecomastia is treated primarily as a cosmetic procedure, we aimed at reducing the invasiveness of the surgery.

Materials and methods: The technique complies with all recommended protocols for different grades of gynaecomastia. It uses liposuction, gland excision, or both, leaving only minimal post-operative scars. The use of cross-chest liposuction through incisions on the edge of the areola helps to get rid of all the fat under the areola without an additional scar as in the conventional method.

Results: This is a short series of 20 patients, all with bilateral gynaecomastia (i.e., 40 breasts), belonging to Simon's Stage 1 and 2, studied over a period of 2 years. The average period of follow-up was 15 months. Post-operative complications were reported in only two cases, with none showing long-term complications or issues specifically due to the procedure.

Conclusions: Cross-chest liposuction for gynaecomastia is a simple yet effective surgical tool in bilateral gynaecomastia treatment to decrease the post-operative scars. The use of techniques like incision line drain placement and post-drain removal suturing of wounds aid in decreasing the scar.

No MeSH data available.


Related in: MedlinePlus

Conventional liposuction through multiple chest incisions
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Figure 1: Conventional liposuction through multiple chest incisions

Mentions: Conventionally, liposuction in gynaecomastia is performed using one or two small incisions on each side of the chest[249] [Figure 1]. The gland is excised through a periareolar incision.[56] This is followed by the insertion of drains either through one of the liposuction entry wounds or through a separate incision. The drain site and liposuction wounds are not sutured and are left to heal secondarily, leading to visible scars[8] in the chest in addition to the periareolar wounds. But, when the liposuction is performed through incisions in the periareolar region, the fat below the areola cannot be addressed satisfactorily, which may necessitate the use of larger incisions to deliver the gland.


Cross-chest liposuction in gynaecomastia.

Murali B, Vijayaraghavan S, Kishore P, Iyer S, Jimmy M, Sharma M, Paul G, Chavare S - Indian J Plast Surg (2011)

Conventional liposuction through multiple chest incisions
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3111131&req=5

Figure 1: Conventional liposuction through multiple chest incisions
Mentions: Conventionally, liposuction in gynaecomastia is performed using one or two small incisions on each side of the chest[249] [Figure 1]. The gland is excised through a periareolar incision.[56] This is followed by the insertion of drains either through one of the liposuction entry wounds or through a separate incision. The drain site and liposuction wounds are not sutured and are left to heal secondarily, leading to visible scars[8] in the chest in addition to the periareolar wounds. But, when the liposuction is performed through incisions in the periareolar region, the fat below the areola cannot be addressed satisfactorily, which may necessitate the use of larger incisions to deliver the gland.

Bottom Line: The average period of follow-up was 15 months.Post-operative complications were reported in only two cases, with none showing long-term complications or issues specifically due to the procedure.The use of techniques like incision line drain placement and post-drain removal suturing of wounds aid in decreasing the scar.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, India.

ABSTRACT

Background: Gynaecomastia is usually treated with liposuction or liposuction with excision of the glandular tissue. The type of surgery chosen depends on the grade of the condition.

Objective: Because gynaecomastia is treated primarily as a cosmetic procedure, we aimed at reducing the invasiveness of the surgery.

Materials and methods: The technique complies with all recommended protocols for different grades of gynaecomastia. It uses liposuction, gland excision, or both, leaving only minimal post-operative scars. The use of cross-chest liposuction through incisions on the edge of the areola helps to get rid of all the fat under the areola without an additional scar as in the conventional method.

Results: This is a short series of 20 patients, all with bilateral gynaecomastia (i.e., 40 breasts), belonging to Simon's Stage 1 and 2, studied over a period of 2 years. The average period of follow-up was 15 months. Post-operative complications were reported in only two cases, with none showing long-term complications or issues specifically due to the procedure.

Conclusions: Cross-chest liposuction for gynaecomastia is a simple yet effective surgical tool in bilateral gynaecomastia treatment to decrease the post-operative scars. The use of techniques like incision line drain placement and post-drain removal suturing of wounds aid in decreasing the scar.

No MeSH data available.


Related in: MedlinePlus