A new cannula for suction removal of parenchymal tissue of gynaecomastia
Keywords:Gynecomastia, Liposuction plus excision, Combined liposuction plus excision
Background: There are various surgical techniques that are available for surgical management of gynecomastia. The aim of the study was to evaluate the cosmetic results and patient satisfaction of a combined liposuction with excision for gynecomastia.
Methods: Clinical records of patients affected by gynecomastia referred to our department between between 2015 and 2018 were analyzed, total of 23 patients were included in the study.
Results: Overall 23 patients underwent surgery for gynecomastia in the study period, a total of 42 breasts were operated as most of the cases were bilateral in nature. 19 patients had bilateral presentation while 4 patients had unilateral presentation. 35 breasts (80%) were operated with a combined liposuction and excision. Liposuction addresses the fatty gynecomastia whereas open excision is used to remove the glandular enlargement. Four patients underwent excision alone as these patients had a firm retro-areolar lump that was suspicious for malignancy. Another four patients underwent liposuction alone.
Conclusions: Surgery is the main stay of management of gynecomastia. Liposuction with excision has had the best outcome with good cosmetic results, acceptable complication rates and good patient satisfaction.
Goldwyn R. Plastic and Reconstructive Surgery of the Breast. Boston: MA Little Brown; 1976;93:305.
McGrath MH. Gynecomastia. In: Jurkiewicz MJ, Mathes SJ, Krizek TJ Ariyan S, eds. Plastic Surgery: Principles and Practice. St. Louis: Mosby; 1990: 1119.
Nydick M, Bustos J, Dale JH, Rawson RW. Gynecomastia in adolescent boys. JAMA. 1961;178:449.
Bhasin S, Jameson JL. Disorders of the testes and male reproductive system. Harrison's Principles of Internal Medicine. 19th ed. New York: McGraw Hill Education; 2015.
Webster JP. Mastectomy for gynaecomastia through a semicircular intra-areolar incision. Ann Surg. 1946;124:557-75.
Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3000 cases. Plast Reconstr Surg. 1983;72:591-7.
Zocchi M. Ultrasonic liposculpturing. Aesthetic Plast Surg. 1992;16:287-98.
Simon BE, Hoffman S, Kahn S. Classification and surgical correction of gynecomastia. Plast Reconstr Surg. 1973;51:48.
Cohen IK, Pozez AL, McKeown JE. Gynecomastia. In: Courtiss EH, ed. Male Aesthetic Surgery. St. Louis, MO: Mosby; 1991: 373.
Teimourian B, Perlman R. Surgery for gynaecomastia. Aesthetic Plast Surg. 1983;7:155-7.
Fruhstorfer BH, Malata. A systematic approach to the surgical treatment of gynaecomastia. Br J Plast Surg. 2003;56(3):237-46.
Rosenberg GJ. Gynecomastia: suction lipectomy as a contemporary solution. Plast Reconstr Surg. 1987;80:379-85.
Rosenberg GJ. A new cannula for suction removal of parenchymal tissue of gynaecomastia. Plast Reconstr Surg. 1994;94:548-51.