Browse > Article

The Role of Ultrasound-Assisted Liposuction before a Surgical Excision in the Treatment of Gynecomastia  

Kang, Dae-Il (Department of Plastic and Reconstructive Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine)
Park, Sang-Woo (Department of Plastic and Reconstructive Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine)
Choi, Jae-Hoon (Yeosu Public Health Center)
Publication Information
Archives of Plastic Surgery / v.37, no.6, 2010 , pp. 742-748 More about this Journal
Abstract
Purpose: The method of using ultrasound-assisted liposuction and excision of the remaining glandular tissue is the preferred method for treating gynecomastia and is currently used worldwide. Herein, this article described the role of ultrasound-assisted liposuction before a surgical excision in the treatment of gynecomastia. The cosmetic results were objectively evaluated. Methods: 11 patients (22 breasts) underwent ultrasoundassisted liposuction and suction-assisted lipectomy between April 2007 and January 2009. At the end of the liposuction, the remaining glandular tissue was removed through the incision used for liposuction. We evaluated the cosmetic results using ordinary scale methods on the basis of four categories (recurrence, symmetry, contour irregularity, and scar). Results: The volume of aspirates ranged between 50 and 200 cc per breast and the average weight of tissue removed by excision was 65g per breast. No complications were recorded. Regarding the cosmetic evaluation, the recurrence, contour irregularity, and scar were excellent, the symmetry was good, and the overall results represented all those cases were mostly excellent. Conclusion: Ultrasound-assisted liposuction has many advantages in the treatment of gynecomastia. When excising the remaining glandular tissue, bleeding is decreased by the use of a tumescent technique. The glandular tissue is easily mobilized and excised after being "morselized" with ultrasound-assisted liposuction. The glandular tissue is simply dissected via the suction surface. Compared the residual mound of glandular tissue beneath the nipple and areola to the periphery, it facilitates precise control of the excision.
Keywords
Gynecomastia; Ultrasound-assisted liposuction;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Howard BK, Beran SJ, Kenkel JM, Krueger J, Rohrich RJ: The effects of ultrasonic energy on peripheral nerves: Implications for ultrasound-assisted liposuction. Plast Reconstr Surg 103: 984, 1999   DOI   ScienceOn
2 Courtiss EH: Gynecomastia: analysis of 159 patients and current recommendations for treatment. Plast Reconstr Surg 79: 740, 1987   DOI   ScienceOn
3 Teimourian B, Perlman R: Surgery for gynecomastia. Aesthetic Plast Surg 7: 155, 1983   DOI   ScienceOn
4 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
5 Sim HB, Yoon SY: The treatment of gynecomastia using ultrasound-assisted liposuction with pull-out method or excision through periareolar incision. J Korean Soc Plast Reconstr Surg 34: 237, 2007
6 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
7 Rohrich RJ, Beran SJ, Kenkel JM, Adams WP, DiSpaltro F: Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg 101: 1090, 1998   DOI   ScienceOn
8 Lista F, Ahmad J: Power-assisted liposuction and the pull-through technique for the treatment of gynecomastia. Plast Reconstr Surg 121: 740, 2008   DOI   ScienceOn
9 Ramen Y, Fodor L, Peled IJ, Eldor L, Egozi D, Ullmann Y: Multimodality gynecomastia repair by cross-chest power-assisted superficial liposuction combined with endoscopic-assisted pull-through excision. Ann Plast Surg 55: 591, 2005   DOI   ScienceOn
10 Simon BE, Hoffman S, Kahn S: Classification and surgical correction of gynecomastia. Plast Reconstr Surg 51: 48, 1973   DOI   ScienceOn
11 Hammond DC: Surgical correction of gynecomastia. Plast Reconstr Surg 124: 61, 2009   DOI   ScienceOn
12 Rohrich RJ, Ha RY, Kenkel JM, Adams WP Jr: Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg 111: 909, 2003   DOI   ScienceOn
13 Morselli PG: "Pull-Through": a new technique for breast reduction in gynecomastia. Plast Reconstr Surg 97: 450, 1996   DOI   ScienceOn
14 Hodgson EL, Fruhstorfer BH, Malata CM: Ultrasonic liposuction in the treatment of gynecomastia. Plast Reconstr Surg 116: 646, 2005   DOI   ScienceOn
15 Park JH, Lee YH: The modified surgical treatment of gynecomastia: pan-cake method. J Korean Soc Plast Reconstr Surg 34: 628, 2007