How happy are patients with their gynaecomastia reduction surgery?

Ridha, Hyder; Colville, R. James; Veselý, Martin

doi:10.1016/j.bjps.2008.04.042

Cited by 51 publications

(44 citation statements)

References 7 publications

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“…Ridha et al [24] found that satisfaction rates following gynecomastia surgery were lower than data reported by others: following surgical treatments, in fact, only 62.5% of the patients responded to be either very satisfied or satisfied over the general outcomes of the treatment, with no differences as to which surgical method was used. Authors further concluded that patients with gynecomastia can be hard to please, especially when it comes to aesthetic satisfaction after surgery, and that pre-operatively information and realistic expectations play a major role within the assessment of the outcomes [24].…”

Section: Validity Of Included Studiesmentioning

confidence: 59%

“…Authors further concluded that patients with gynecomastia can be hard to please, especially when it comes to aesthetic satisfaction after surgery, and that pre-operatively information and realistic expectations play a major role within the assessment of the outcomes [24]. Grade I: increase in diameter and protusion limited to the areolar region Grade II: hypertrophy of all the structual components of the breast.…”

Section: Validity Of Included Studiesmentioning

confidence: 98%

“…Primary and secondary outcome Primary and secondary outcomes are summarised in Table VII [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26].…”

Section: Validity Of Included Studiesmentioning

confidence: 99%

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Gynecomastia: A systematic review

Fagerlund

Lewin

Rufolo

et al. 2015

Journal of Plastic Surgery and Hand Surgery

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Section: Validity Of Included Studiesmentioning

confidence: 59%

Section: Validity Of Included Studiesmentioning

confidence: 98%

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Gynecomastia: A systematic review

Fagerlund

Lewin

Rufolo

et al. 2015

Journal of Plastic Surgery and Hand Surgery

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“…We know of few studies [7, 9–15] published on liposuction alone for correction of gynaecomastia. We designed this study to evaluate the outcome (patients’ satisfaction and assessment by an independent observer) of combining liposuction with glandular liposculpturing through two axillary incisions as a single treatment for grades I and II gynaecomastia.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Glandular Liposculpture as a Single Treatment for Grades I and II Gynaecomastia

et al. 2018

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BackgroundGynaecomastia is a benign enlargement of the male breast, of which the psychological burden on the patient can be considerable, with the increased risk of disorders such as depression, anxiety, and social phobia. Minimal scarring can be achieved by liposuction alone, though it is known to have a limited effect on the dense glandular and fibroconnective tissues. We know of few studies published on “liposuction alone”, so we designed this study to evaluate the outcome of combining liposuction with glandular liposculpturing through two axillary incisions as a single treatment for the management of grades I and II gynaecomastia.MethodsWe made a retrospective analysis of 18 patients with grade I or II gynaecomastia who were operated on by combined liposuction and glandular liposculpturing using a fat disruptor cannula, without glandular excision, during the period 2014–2016. Patient satisfaction was assessed using the Breast Evaluation Questionnaire (BEQ), which is a 5-point Likert scale (1 = very dissatisfied; 2 = dissatisfied; 3 = neither; 4 = satisfied; 5 = very satisfied). The post-operative aesthetic appearance of the chest was evaluated by five independent observers on a scale from 1 to 5 (5 = considerable improvement).ResultsThe patient mean (SD) overall satisfaction score was 4.7 (0.7), in which 92% of the responders were “satisfied” to “very satisfied”. The mean (SD) BEQ for all questions answered increased from 2.1 (0.2) “dissatisfied” preoperatively to 4.1 (0.2) “satisfied” post-operatively. The observers’ mean (SD) rate for the improvement in the shape of the front chest wall was 4.1 (0.7). No haematomas were recorded, one patient developed a wound infection, and two patients complained of remnants of tissue. The median (IQR) body mass index was 27.4 (26.7–29.4), 11 patients had gynaecomastia grade I, and 7 patients grade II. The median (IQR) volume of aspirated fat was 700 ml (650–800), operating time was 67 (65–75) minutes, 14 patients had general anaesthesia, and hospital charges were US$ 538 (481–594).ConclusionsCombined liposuction and liposculpturing using the fat disruptor cannula resulted in satisfied patients and acceptable outcomes according to the observers’ ratings. It could be a useful alternative with an outcome that corresponds to that of more expensive methods.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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“…El impacto final en la calidad de vida del adolescente no ha sido mensurado, aunque sí se lo ha hecho en adultos jóvenes. 8,9 n BIBLIOGRAFÍA…”

Section: ¿Es De Utilidad El Tratamiento Farmacológico?unclassified

Enfoque práctico del manejo de la ginecomastia. Seis preguntas que debe responderse el pediatra ante un paciente con ginecomastia

Endocrinología¹

2011

Arch Argent Pediat

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Enfoque práctico del manejo de la ginecomastia. Seis preguntas que debe responderse el pediatra ante un paciente con ginecomastia RESUMENLa ginecomastia puberal es un motivo de preocupación frecuente en la consulta del adolescente. En muchos casos va acompañada de un componente emocional que puede llevar a cambios en actitudes cotidianas del joven. Descartar otras etiologías, evitar estudios complementarios innecesarios, restringir las actitudes terapéuticas activas y reafirmar el carácter de variante de la normalidad es responsabilidad del pediatra y médico de adolescentes. Se describen brevemente seis preguntas eminentemente prácticas que debe responderse el médico tratante. SUMMARYPubertal gynecomastia is a common concern in the consultation of the adolescent. Usually, it is accompanied by an emotional component that can lead to changes in everyday attitudes of youth. The responsability of the pediatrician is to rule out other etiologies, to avoid unnecessary additional studies, to limit active therapeutic attitudes, and to reaffirm the variation of normality. We briefly describe six eminently practical questions to be answered by the physician.

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How happy are patients with their gynaecomastia reduction surgery?

Cited by 51 publications

References 7 publications

Gynecomastia: A systematic review

Gynecomastia: A systematic review

Evaluation of Glandular Liposculpture as a Single Treatment for Grades I and II Gynaecomastia

Enfoque práctico del manejo de la ginecomastia. Seis preguntas que debe responderse el pediatra ante un paciente con ginecomastia

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