Assessment of a Suction-Assisted Cartilage Shaver Plus Liposuction for the Treatment of Gynecomastia
| Autor: | Mauricio Raigosa, Marisa Manzano, Jesús Benito-Ruiz, Laura Salvador |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Suction (medicine) medicine.medical_specialty Time Factors Mammaplasty medicine.medical_treatment Therapeutics Severity of Illness Index Vibration Young Adult Patient satisfaction Lipectomy Severity of illness medicine Humans Young adult skin and connective tissue diseases business.industry Patient Selection Cartilage General Medicine Middle Aged medicine.disease Hyperpigmentation Surgery medicine.anatomical_structure Gynecomastia Connective Tissue Patient Satisfaction Liposuction medicine.symptom business Arthroscopes |
| Zdroj: | Aesthetic Surgery Journal. 29:302-309 |
| ISSN: | 1090-820X |
| Popis: | Background The development of feminized breasts in men may cause significant emotional distress and embarrassment, particularly in young men and adolescents. Numerous techniques have been described for the correction of gynecomastia, many of which include the removal of fat and glandular tissue. Objective The authors assess the utility of combining vibroliposuction with the use of a power-assisted arthroscopic–endoscopic cartilage shaver to correct gynecomastia and suggest a treatment algorithm for patients with gynecomastia. Methods Forty consecutive patients with a median age of 32 years (range 19–57 years) and with varying degrees of gynecomastia underwent a combined approach that included vibroliposuction (power-assisted tumescent liposuction) for the removal of fatty tissue, followed by the removal of fibrous tissue with the use of a power-assisted cartilage shaver. Follow-up periods ranged in duration from six to 18 months. Results All patients had satisfactory results. However, expansive hematomas requiring surgical drainage developed in three patients. Other complications included one case of insufficient resection requiring reoperation and three cases of hyperpigmentation and skin irregularities in patients with grade I gynecomastia. Conclusions Combination treatment using vibroliposuction and a power-assisted arthroscopic–endoscopic cartilage shaver is an effective treatment for gynecomastia, but the technique has a learning curve. This procedure is most appropriate for patients with grades II and III gynecomastia, or as a first-stage treatment for patients with grade IV gynecomastia. |
| Databáze: | OpenAIRE |
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