Browse > Article

The Treatment of Gynecomastia using Ultrasound-Assisted Liposuction with Pull-Out Method or Excision through Periareolar Incision  

Sim, Hyung Bo (Baram Clinic BBC)
Yoon, Sang Yub (Baram Clinic BBC)
Publication Information
Archives of Plastic Surgery / v.34, no.2, 2007 , pp. 237-242 More about this Journal
Abstract
Purpose: Gynecomastia is an abnormal increase in the volume of the male breast. Patients affected by gynecomastia with significant glandular enlargement may respond to suction alone and/or sharp dissection and excision. The purpose of this report is to introduce the indications and results of authors' two techniques. Methods: The diameter of parenchyme was determined by a pinch test after liposuction. For the parenchymal diameter less than 4 cm, ultrasound-assisted liposuction was performed, in conjunction with the "pull-out technique" to effectively remove the fibrofatty tissue of the male breast through a single 5-7 mm incision. For the parenchymal diameter more than 4 cm, ultrasound-assisted liposuction and excision were applied through 2.5 cm periareolar approach. Results: A total of 94 patients (185 breasts) underwent the operation from October 2000 to October 2003 and mean follow-up period was 12 months. The volume of aspirates ranged from 50 to 450 cc per breast. There were no major complications such as skin flap necrosis. Five reoperations were performed for 1 hypertrophic scar, 2 under-resected and 2 hematoma cases. The patient's satisfaction was high and most of them were pleased with the shape of the breasts and scars. Conclusion: These procedures can minimize scars and reduce the incidence of contour problem such as saucer deformity, and provides consistent results. Patients can return to full activities in 48 hours. It can be offered as an option for the treatment of gynecomastia.
Keywords
Ultrasound-assisted liposuction; Excision; Pull-out technique; Gynecomastia;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Sim HB: Treatment of gynecomastia utilizing the ultrasound- assisted liposuction. J Korean Soc Aesthetic Plast Surg 8: 19, 2002
2 Hammond DC, Arnold JF, Simon AM, Capraro PA: Combined use of ultrasonic liposuction with the pullthrough technique for the treatment of gynecomastia. Plast Reconstr Surg 112: 891, 2003   DOI   ScienceOn
3 Bostwick J III: Plastic and reconstructive brest surgery. 2nd ed., St. Louis, Quality Medical Publishing Inc., 2000, P584
4 Shin HW, Hong JP: The treatment of gynecomastia using power assisted and ultrasound assisted liposuction with periareolar partial resection. J Korean Soc Aesth Plast Surg 11: 207, 2005
5 Zocchi ML: Ultrasonic-assisted lipoplasty. Technical refinements and clinical evaluations. Clin Plast Surg 23:575, 1996
6 Bracaglia R, Fortunato R, Gentileschi S, Seccia A, Farallo E: Our experience with the so-called pull-through technique combined with liposuction for management of gynecomastia. Ann Plast Surg 53: 22, 2004   DOI   ScienceOn
7 Rohrich RJ, Ha RY, Kenkel JM, Adams WP Jr: Oassification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg 111:909, 2003   DOI   ScienceOn
8 Choi KH, Lee JC: Treatment of gynecomastia with tamoxifen. J Korean Soc Surg 48: 741, 1995
9 Courtiss EH: Gynecomastia: analysis of 159 patients and current recommendations for treatment. Plast Reconstr Surg 79: 740, 1987
10 Morselli PG: 'Pull-Through': a new technique for breast reduction in gynecomastia. Plast Reconstr Surg 97: 450, 1996
11 Mladick RA: Gynecomastia liposuction and excision. Clin Plast Surg 18: 815, 1991
12 Maxwell GP, Gingrass MK: Ultrasound-assisted lipoplasty: a clinical study of 250 consecutive patients. Plast Reconstr Surg 101: 189, 1998
13 Rosenberg GJ: Gynecomastia: suction lipectomy as a contemporary solution. Plast Reconstr Surg 80: 379, 1987
14 Fodor PB: Breast cancer in a patient with gynecomastia. Plast Reconstr Surg 84: 976, 1989
15 Hodgson EL, Fruhstorfer BH, Malata CM: Ultrasonic liposuction in the treatment of gynecomastia. Plast Reconstr Surg 116: 646, 2005   DOI   ScienceOn