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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) Intra operative (During dissection of pedicle). B) Intra operative (Narrowed pedicle). C) Intraoperative view.
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Figure 2: A) Intra operative (During dissection of pedicle). B) Intra operative (Narrowed pedicle). C) Intraoperative view.

Mentions: On examination, NAC and IMF were below ideal position, a significant lateral chest wall roll was present, and upper abdominal laxity and high skin redundancy were detectable. We choose a new technique with good aesthetic result, involved elevation of the nipple areola complex on a thin dermoglandular flap (1 cm diameter, 10 cm width), which was transposed under a superior chest wall flap (Figure 2A-C). Excision of the soft tissue under the flap thinned the chest. Aggressive breast volume reduction, nipple repositioning, good scar position (around the areola and at the new infra-mammary fold) were possible. Lateral extension of the chest excision dealt with the lateral chest roll (Figure 3A-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) Intra operative (During dissection of pedicle). B) Intra operative (Narrowed pedicle). C) Intraoperative view.
© Copyright Policy
Related In: Results  -  Collection

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

Figure 2: A) Intra operative (During dissection of pedicle). B) Intra operative (Narrowed pedicle). C) Intraoperative view.
Mentions: On examination, NAC and IMF were below ideal position, a significant lateral chest wall roll was present, and upper abdominal laxity and high skin redundancy were detectable. We choose a new technique with good aesthetic result, involved elevation of the nipple areola complex on a thin dermoglandular flap (1 cm diameter, 10 cm width), which was transposed under a superior chest wall flap (Figure 2A-C). Excision of the soft tissue under the flap thinned the chest. Aggressive breast volume reduction, nipple repositioning, good scar position (around the areola and at the new infra-mammary fold) were possible. Lateral extension of the chest excision dealt with the lateral chest roll (Figure 3A-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