Gynecomastia Treatment through Open Resection and Pectoral High-Definition Liposculpture
| Autor: | Alfredo E. Hoyos, Rodrigo Domínguez-Millán, Mauricio E Perez |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment 030230 surgery 03 medical and health sciences Young Adult 0302 clinical medicine Hematoma Lipectomy Open Resection medicine Localized infection Humans Major complication Aged Retrospective Studies business.industry Middle Aged Plastic Surgery Procedures medicine.disease Surgery Gynecomastia 030220 oncology & carcinogenesis Liposuction High definition business Body mass index |
| Zdroj: | Plastic and reconstructive surgery. 147(5) |
| ISSN: | 1529-4242 |
| Popis: | Background Male chest definition surgery and patients complaining of breast tissue overgrowth have been increasing in recent decades. After the authors' first report of pectoral etching in 2012, patients and surgeons became more aware about gynecomastia resection when performing pectoral enhancement. The authors present their experience with pectoral high-definition liposculpture in addition to inverted-omega incision resection for gynecomastia. Methods The authors reviewed their records on pectoral high-definition lipo sculpture between January of 2005 and October of 2019 in four surgical centers in Colombia. Inclusion criteria were as follows: men diagnosed with gynecomastia and body mass index less than or equal to 32 kg/m2, adequate skin elasticity, and general good health. Photographs were taken preoperatively and 1, 3, 6, and 12 months postoperatively. Follow-up ranged from 2 months to 3 years. Results Gynecomastia resection plus high-definition liposculpture was successfully performed in 436 consecutive men (open inverted-omega incision resection, n = 132; liposuction, n = 304). Ages ranged from 18 to 66 years. Fat grafting volume ranged from 50 to 300 cc in each pectoral muscle. Minor complications (3.2 percent) included prolonged swelling, bruising, asymmetries, and residual gynecomastia. Major complications (1.6 percent) included unilateral hematoma and localized infection. No necrosis, systemic infection, or muscle paralysis was reported. A nonstandardized survey showed a very high satisfaction index. Conclusion Gynecomastia treatment combining high-definition liposculpture to male breast tissue resection through a new, almost invisible incision allowed us to achieve an athletic and natural appearance of the male pectoral area with a very low rate of complications. Clinical question/level of evidence Therapeutic, IV. |
| Databáze: | OpenAIRE |
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