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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

A 7-cm stab incision in the skin-areolar junction at the 6 o′ clock position
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Figure 2: A 7-cm stab incision in the skin-areolar junction at the 6 o′ clock position

Mentions: The initial incision for liposuction is a 7-mm stab made at the 6'o clock position at the skin–areola junction of the nipple–areola complex [Figure 2]. Pre-tunneling before liposuction is carried out using a liposuction cannula through this incision. A 3-mm-diameter liposuction-cannula with the Mercedes Benz tip is inserted and liposuction of the ipsilateral breast is completed [Figure 3]. The same procedure is repeated on the opposite breast as well. All liposuctions were carried out using a power-assisted device.


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)

A 7-cm stab incision in the skin-areolar junction at the 6 o′ clock position
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: A 7-cm stab incision in the skin-areolar junction at the 6 o′ clock position
Mentions: The initial incision for liposuction is a 7-mm stab made at the 6'o clock position at the skin–areola junction of the nipple–areola complex [Figure 2]. Pre-tunneling before liposuction is carried out using a liposuction cannula through this incision. A 3-mm-diameter liposuction-cannula with the Mercedes Benz tip is inserted and liposuction of the ipsilateral breast is completed [Figure 3]. The same procedure is repeated on the opposite breast as well. All liposuctions were carried out using a power-assisted device.

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