Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?

Özalp, Burhan; Berköz, Ömer; Aydinol, Mustafa

doi:10.1080/2000656x.2017.1313260

Cited by 8 publications

(1 citation statement)

References 27 publications

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“…Adenectomy has been performed through inferior emiperiareolar incision, with native inframammary sulcus release. To allow a telescopic realignment of areola and a satisfactory recontouring of the retracted footprint of the IMF a pedicled flap was harvested from behind the areola and then inset in a subcutaneous pocket mandatory to avoid severe complications [48]. However, in the presence of residual crescent aspect of the skin flap, a purse string second look could be hypothesized to limit the need of extra-areolar scars.…”

Section: Discussionmentioning

confidence: 99%

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

2021

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Background Gynecomastia is a common finding in males. Clinical aspect varies widely in world populations showing peculiar hallmarks according to different body shapes reflecting personal expectations; therefore, a surgical plan must be tailored on individual basis to all type of patients. Materials and Method A total of 522 patients, treated for bilateral gynecomastia from January 2007 to January 2019, were included and reviewed in this retrospective study. Considering physical status BMI, muscular trophism, hypertrophy of the mammary region, nipple-areola disorder, gland and skin cover consistency, a four-tier classification system has been used to classify the deformity and to assess a surgical plan. In all cases, a subcutaneous mastectomy was performed under direct vision. Results No recurrence of the deformity was observed as well as major complications such as necrosis, and high level of satisfaction was observed in all groups. No breast cancer was found at the histological examinations Operative time ranged from 25 minutes up to 120 minutes and hospitalization time ranged from 1 to 3 days. Conclusion Since the physical status is strictly related to the clinical features of the disorder, a comprehensive classification system and a reconstructive algorithm are proposed.

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Section: Discussionmentioning

confidence: 99%

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

2021

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Benign Surgical Conditions

Thirugnanasundralingam

Tasevski

Lawrentschuk

2022

Men’s Health and Wellbeing

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Incidence of Complications for Different Approaches in Gynecomastia Correction: A Systematic Review of the Literature

2022

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Background Gynecomastia is nowadays a very common disease, affecting a large cohort of patients with different ages. The aim of this literature review is to assess the incidence of complications with all proposed techniques and for combined procedures versus single approach procedures in gynecomastia correction. Materials and Methods A systematic review of the literature was performed to identify all reported techniques for gynecomastia correction covering a period from January 1, 1987 to November 1, 2020. For all selected papers, demographic data, proposed technique, and complications’ incidence have been recorded. Results A total number of 3970 results was obtained from database analysis. A final total number of 94 articles was obtained for 7294 patients analyzed. Patients have been divided into three groups: aspiration techniques, consisting in 874 patients (11,98%), surgical excision techniques, consisting in 2764 patients (37,90%), and combined techniques, consisting in 3656 patients (50,12%). Complications have been recorded for all groups, for a total number of 1407, of which 130 among “Aspiration techniques” group (14,87%), 847 among “Surgical excision techniques” group (30,64%), and 430 in “Combined techniques” group (11,76%). Conclusions Several techniques have been proposed in the literature to address gynecomastia, with the potential to greatly improve self-confidence and overall appearance of affected patients. The combined use of surgical excision and aspiration techniques seems to reduce the rate of complications compared to surgical excision alone, but the lack of unique classification and the presence of several surgical techniques still represents a bias in the literature review. Level of Evidence III This 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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Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?

Abstract: It was concluded that SAL provides a good aesthetic outcome in patients with Simon grade 2b gynecomastia and shortens the SNN distance by 1 cm, but further clinical studies are required to support this conclusion.

Cited by 8 publications

References 27 publications

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

Benign Surgical Conditions

Incidence of Complications for Different Approaches in Gynecomastia Correction: A Systematic Review of the Literature

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