Surgical management of gynaecomastia by using cross chest liposuction and limited periareolar incision for gland excision: an interesting case report
Keywords:Gynaecomastia, Ductal tissue, Stroma, Cross chest liposuction, Nipple areolar complex
Gynaecomastia is excessive or abnormal enlargement of male breast tissue. It is one of a common problem among young men. The term gynaecomastia means female like enlargement of male breast due to increase ductal tissue, stroma or fat. Most common cause of gynaecomastia is idiopathic. Surgical treatment of gynaecomastia involves liposuction and glandular excision and in few cases skin excision. Here author presents a case of 24 years old young healthy male with Simon’s grade 2B bilateral gynaecomastia. He had stubborn fat over bilateral chest which was resistant to exercise. Gynaecomastia was mixed type in characteristic having adipose tissue as well as glandular tissue enlargement. Bilateral liposuction and glandular excision by limited periareolar incision under general anesthesia as a day care procedure was done. In our procedure we used Cross chest liposuction. Patient was discharged at the same evening without any complications. After four months of follow up patient has male pattern chest with almost invisible scar and intact Nipple areolar complex (NAC) sensation.
Nydick M, Btos J, Dale JH, Rawson RW. Gynaecomastia in adolescent boys. JAMA. 1961;178:449.
McGrath MH. Gynecomastia. In: Jurkiewicz MJ, MatheJ SJ, Krizek TJ, Ariyan S, eds. Plastic Surgery: Principle and Practice. St. Louis, MO: Mosby. 1990;1119.
Maladick RA. Gynecomastia: Liposuction and excision. Clin Plast Surg. 1991;18:815-22.
Boljanovic S, Axelsson CK, Elberg JJ. Surgical Treatment of Gynecomastia: Liposuction combined with subcutaneous mastectomy. Scand J Surg. 2003;92:160-2.
Simon BE, Hoffman S, Kahn S. Classification and surgical correction of gynaecomastia. Plastic Reconstructive surgery. 1973;51:48.
Braunstein GD. Clinical practice: Gynecomastia. N Engl J Med. 2007;357:1229-37.
Wiesman IM, Lehman JA Jr, Parker MG, Tantri MD, Wagner DS, Pedersen JC. Gynecomastia: An outcome analysis. Ann Plast Surg. 2004;53:97-101.
Fruhstorfer BH, Malata CM. A systematic approach to surgical treatment of gynecomastia. Br J Plast Surg 2003;56:237-46.