Changing practices: The addition of a novel surgical approach to gynecomastia

Gynecomastia can be a significant impediment to quality of life for men who suffer from this affliction. Numerous surgical techniques have been described in the literature ranging from minimally invasive options such as liposuction to incision based reductions. The standard for the general surgeons at our institution has been subcutaneous mastectomy through a circumareolar incision, which often proved inadequate for patients with grade II or III gynecomastia. In November 2013 we adopted a new technique, the “double donut”, that offers the post-operative appearance of a limited incision, with the additional benefits of mastopexy, skin reduction, and mastectomy through an enlarged incision which is not superficially evident at the completion of the procedure.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research

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AbstractBackgroundThree-dimensional surface imaging (3DSI) has shown promise for plastic surgeons to objectively assess changes in body contour and breast volume.ObjectivesTo assess the surgical outcome after bilateral subcutaneous mastectomy (BSM) and water jet-assisted liposuction (WAL) as treatment for idiopathic gynecomastia, using 3DSI to document changes regarding nipple –areolar complex (NAC) and breast volume.MethodsThirty male patients (Simon II A to B) receiving BSM and WAL were enrolled. Eight subjects received additional mastopexy and NAC reduction. Use of a Vectra 3D Imaging System® before and 6 &nbs...
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
ConclusionThe “double donut” technique is particularly useful for males with grades II or III gynecomastia. It provides good wound results, with acceptable patient satisfaction and cosmetic outcomes. Although initially developed for patients with higher grade gynecomastia, the improved visibility and increased patient satisfaction allowed this to become the preferred technique at our institution.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
AbstractBackgroundAsymmetric bilateral gynecomastia (ABGM) is uncommon, and reports on its characteristics are rare. In the present study, we investigated the clinical characteristics and surgical treatment of ABGM.MethodsWe conducted a retrospective study of 1159 patients with gynecomastia who underwent subcutaneous mastectomy with liposuction at Damsoyu Hospital from January 2014 to February 2016. We then analyzed differences in the characteristics and operative results between two groups of patients: those with asymmetric and symmetric gynecomastia. Asymmetric gynecomastia was defined as gynecomastia meeting both of the...
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Gynecomastia can be a significant impediment to quality of life for men who suffer from this affliction. Numerous surgical techniques have been described in the literature ranging from minimally invasive options such as liposuction to incision based reductions. The standard for the general surgeons at our institution has been subcutaneous mastectomy through a circumareolar incision, which often proved inadequate for patients with grade II or III gynecomastia. In November 2013 we adopted a new technique, the “double donut”, that offers the post-operative appearance of a limited incision, with the additional bene...
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
ConclusionOur technique presents a lot of advantages, reduced length of stay in the hospital, costs from drain site care and clinic visits, patients ’ discomfort, and antibiotic prescriptions.Level of Evidence VThis 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 Authorswww.springer.com/00266.
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
ConclusionsClosed-suction drains may reduce rates of clinically significant seromas requiring needle aspiration. Though drains carry their own pertinent adverse effects (e.g., patient discomfort and anxiety, cost, and additional clinic visits), there remains no universal standard of care and surgeon practices vary widely. Given the potential to reduce seroma rates, we recommend that surgeons consider placing drains and discuss with patients the benefits and risks of drains after surgical treatment of gynecomastia.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full d...
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
ConclusionsGynecomastia that did not regress spontaneously was mostly the glandular type, so not only liposuction but also surgical removal of glandular tissue is necessary. Surgical treatment, selectively performed in patients who have had gynecomastia for 3  years, and have experienced psychosocial distress, could be an acceptable treatment for adolescent gynecomastia.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 authorswww.springer.com/00266.
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
ConclusionsAll patients who wish to obtain a masculine breast shape should be treated with only one objective regardless patient ’s gender: to obtain a masculine thorax. We recommend a simple mammary gland classification for determining the best surgical treatment for these patientsLevel of Evidence VThis 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 Authorswww.springer.com/00266.
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
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