Comprehensive aesthetic corrections of gynecomastia

[madman]

This study focuses on the trends of minimally invasive gynecomastia surgery with fast recovery. Researchers developed a refined surgical approach involving enhanced liposuction to remove intraglandular fat and a modified pull-through technique. This was applied to grade I and II gynecomastia cases. Surgical data and patient satisfaction were recorded. Between January 2017 and May 2022, 165 patients underwent this technique. The surgery took around 100 minutes, with 300 ml of fat aspirated and 20.8 g of glandular tissue excised on average. 46.7% of patients responded to satisfaction questionnaires, reporting an average score of 4.68 out of 5. Complications occurred in 4.0% of cases. In conclusion, the refined technique of enhanced liposuction combined with the pull-through and bottom-up approach effectively treated grade I and II gynecomastia, offering minimal scarring and high satisfaction. It's considered safe and simple, suitable even for less-experienced surgeons.




Highlights

• Enhanced liposuction combined with pull-through and bottom-up technique is simple and safe to treat gynecomastia.
• The refined strategy consists of three steps: the intraglandular fat removing, gland excision and adjuvant liposuction.
• The end point of the enhanced liposuction includes a pinch thickness of 1–2 cm and a fully isolated gland moving smoothly.
• The refined strategy is characterized by minimal invasiveness and complete avoidance of saucer deformity.

 

[madman]

Fig. 1. Illustration of enhanced liposuction combined with the pull-through and bottom-up technique. A: Preoperative illustration of the three zones and two stab incisions. B: Aspirating the intraglandular fat from the deep layer. C: The end point of the enhanced liposuction showing a fully isolated gland. D: Gland excision using the pull-through and bottom-up technique.

 

[madman]

Fig. 2. Surgical procedures of the pull-through and bottom-up method in a 25-year-old male patient with gynecomastia. A: Dissection of residual attachments of gland. B: Pulling the isolated gland through a small incision. C: Inversion of the gland to an upside-down position. D: Resection of the gland from the bottom.

 

[madman]

Fig. 3. Photographs of a 16-year-old male with gynecomastia in grade I undergoing bilateral enhanced liposuction combined with gland excision by the pull-through and bottomup technique. A, B, C: Preoperative view. D, E, F: View of follow-up at 12 months after surgery.

 

[madman]

Fig. 4. Photographs of a 42-year-old male with gynecomastia in grade IIa undergoing bilateral enhanced liposuction combined with gland excision by the pull-through and bottomup technique. A, B, C: Preoperative view. D, E, F: View of follow-up at 15 months after surgery.

 

[madman]

Fig. 5. Photographs of a 27-year-old male with gynecomastia in grade IIa undergoing bilateral enhanced liposuction combined with gland excision by the pull-through and bottomup technique. A, B, C: Preoperative view. D, E, F: View of follow-up at 13 months after surgery.

 

[madman]

Horrific!

Fig. 7. A Photograph of a 37-year-old male with severe contour irregularity and muscular contraction deformity after gynecomastia surgery in another hospital 19 years ago.

 

[madman]

Fig. 6. Photographs of a 31-year-old male with gynecomastia in grade IIb undergoing bilateral enhanced liposuction and gland excision by the pull-through and bottom-up technique on the right side. A, B, C: Preoperative view. D, E, F: View of follow-up at 6 months after surgery.

 

[madman]

Table 1 Complications.

 

[madman]

Comprehensive aesthetic corrections of gynecomastia using the reproducible safe and minimally invasive surgical strategy

Minimally invasive access and fast recovery are trends of gynecomastia surgery. We placed great importance on liposuction and modified original pull-t…

www.sciencedirect.com

Multimedia component 1.

Multimedia component 2.

Multimedia component 3.

 

[madman]

Approach to Gynecomastia in Primary Care Clinics

An Approach to Gynecomastia in Primary Care Clinics (2022) Kavya Bharathidasan, MD, Jordan Curl, BS, Vedesh Kumar Babu, MD, Shaili Felton, MD, and Kenneth Nugent, MD Abstract Gynecomastia is a more common finding in primary care clinics than is recognized. Because this finding can be easily...

www.excelmale.com

 

[Nelson Vergel]

Horrific!

Fig. 7. A Photograph of a 37-year-old male with severe contour irregularity and muscular contraction deformity after gynecomastia surgery in another hospital 19 years ago.
View attachment 35998

OMG!! That doctor was a butcher. That pic triggers all my insecurity with surgeons.