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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

Drain inserted through the same incision, with untied suture
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Figure 6: Drain inserted through the same incision, with untied suture

Mentions: In patients requiring a glandular excision, the stab incision is extended for 2 mm on either side into a periareolar incision and the glandular elements are removed surgically [Figure 5]. Post-operatively, a suction drain is inserted and brought out through the same incision [Figure 6]. The wound is closed in two layers. Half-buried vertical mattress sutures are used so that there are no marks on the skin side of the incision. A mattress suture is placed and left loose in the part of the incision through which the drain is passed, to be tied later after removal of the drain [Figure 6]. This was followed by pressure vest from the immediate post-operative period, the dressings were changed on the first or second post-operative day and the drains were removed when the drain volume was <30 ml. The patients were discharged on the same day of the procedure. This was followed by regular clinical follow-up at 3 months, 6 months, 18 months and 24 months.


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)

Drain inserted through the same incision, with untied suture
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 6: Drain inserted through the same incision, with untied suture
Mentions: In patients requiring a glandular excision, the stab incision is extended for 2 mm on either side into a periareolar incision and the glandular elements are removed surgically [Figure 5]. Post-operatively, a suction drain is inserted and brought out through the same incision [Figure 6]. The wound is closed in two layers. Half-buried vertical mattress sutures are used so that there are no marks on the skin side of the incision. A mattress suture is placed and left loose in the part of the incision through which the drain is passed, to be tied later after removal of the drain [Figure 6]. This was followed by pressure vest from the immediate post-operative period, the dressings were changed on the first or second post-operative day and the drains were removed when the drain volume was <30 ml. The patients were discharged on the same day of the procedure. This was followed by regular clinical follow-up at 3 months, 6 months, 18 months and 24 months.

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