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Successful Excision of Gynecomastia with Nipple Repositioning Technique Utilizing the Dermoglandular Flap.

Motamed S, Hassanpour SE, Moosavizadeh SM, Heidari A, Rouientan A, Nazemian M - World J Plast Surg (2015)

Bottom Line: We excised the gynecomastia with nipple repositioning utilizing the dermoglandular flap (about 1 cm thickness and 10 cm width).After one month, no complication was detected and the patient was satisfied with his new breasts.We suggest this technique for fatty glandular gynecomastia grade III.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

ABSTRACT
There are many surgical techniques for treating gynecomastia. We report a new surgical technique in an adolescent with fatty glandular gynecomastia grade III, who was referred from an endocrinologist to our clinic. We excised the gynecomastia with nipple repositioning utilizing the dermoglandular flap (about 1 cm thickness and 10 cm width). After one month, no complication was detected and the patient was satisfied with his new breasts. We suggest this technique for fatty glandular gynecomastia grade III.

No MeSH data available.


Related in: MedlinePlus

A) Preoperative view (AP). B) Preoperative view (right).C) Preoperative view (left).
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Figure 1: A) Preoperative view (AP). B) Preoperative view (right).C) Preoperative view (left).

Mentions: Scrotal sonography showed a small and atrophic (12×6 mm) left testis denoted to a diffuse decreased echo and the right testis was not detectable. The patient was treated with testosterone (250 mg every 3 weeks) and was closely followed in endocrinology clinic every 3 months. After one year, testosterone level reached 11.9 ng/ml with increased facial and body hair and libido, and his mild gynecomostia status progressed to a severe type. Breast sonography showed severe glandular dominant, fatty glandular gynecomastia. Sperm analysis revealed azoospermia. Testostrone was continued for him and was referred to an infertility clinic for search of a donor sperm and to a plastic surgery clinic due to gynecomastia (Figure 1A-C).


Successful Excision of Gynecomastia with Nipple Repositioning Technique Utilizing the Dermoglandular Flap.

Motamed S, Hassanpour SE, Moosavizadeh SM, Heidari A, Rouientan A, Nazemian M - World J Plast Surg (2015)

A) Preoperative view (AP). B) Preoperative view (right).C) Preoperative view (left).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537609&req=5

Figure 1: A) Preoperative view (AP). B) Preoperative view (right).C) Preoperative view (left).
Mentions: Scrotal sonography showed a small and atrophic (12×6 mm) left testis denoted to a diffuse decreased echo and the right testis was not detectable. The patient was treated with testosterone (250 mg every 3 weeks) and was closely followed in endocrinology clinic every 3 months. After one year, testosterone level reached 11.9 ng/ml with increased facial and body hair and libido, and his mild gynecomostia status progressed to a severe type. Breast sonography showed severe glandular dominant, fatty glandular gynecomastia. Sperm analysis revealed azoospermia. Testostrone was continued for him and was referred to an infertility clinic for search of a donor sperm and to a plastic surgery clinic due to gynecomastia (Figure 1A-C).

Bottom Line: We excised the gynecomastia with nipple repositioning utilizing the dermoglandular flap (about 1 cm thickness and 10 cm width).After one month, no complication was detected and the patient was satisfied with his new breasts.We suggest this technique for fatty glandular gynecomastia grade III.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

ABSTRACT
There are many surgical techniques for treating gynecomastia. We report a new surgical technique in an adolescent with fatty glandular gynecomastia grade III, who was referred from an endocrinologist to our clinic. We excised the gynecomastia with nipple repositioning utilizing the dermoglandular flap (about 1 cm thickness and 10 cm width). After one month, no complication was detected and the patient was satisfied with his new breasts. We suggest this technique for fatty glandular gynecomastia grade III.

No MeSH data available.


Related in: MedlinePlus