| Combined use of ultrasonic-assisted liposuction and semicircular periareolar incision for the treatment of gynecomastia. | |
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MedLine Citation:
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PMID: 18046142 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Of the wide range of excisional and liposuction techniques used to correct gynecomastia, so far, no single one was suitable for all grades of gynecomastia. We introduce ultrasonic-assisted liposuction (UAL) combined with conventional liposuction and partial gland resection without skin excision as the standard surgical technique for all such grades. PATIENTS AND METHODS: Twenty-eight men (aged 17 to 80 years) were consecutively treated from March 2004 through April 2006 for grade Ia (n = 3), Ib (n = 2), IIa (n = 6), IIb (n = 6), III (n = 8), or IV (n = 3) gynecomastia. Their characteristics and the outcome of surgery were retrospectively assessed. RESULTS: A mean of 848 mL (range, 300 to 1400 mL) of liquefied breast tissue was aspirated, and 31 g (range, 3 to 180 g) of fibroglandular tissue were excised per breast. No immediate or delayed adjuvant skin reduction was needed in any of the patients. Moderate postoperative ecchymosis was observed in 2 patients, but no complications were encountered in this series. The cosmetic outcome was good to excellent in all. CONCLUSIONS: UAL in combination with gland resection through a minimal caudal semicircular periareolar incision and conventional liposuction effectively corrects all grades of gynecomastia. This combination has little morbidity, requires no skin excision, and leads to uniformly good esthetic results. |
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Authors:
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Danielle L Esme; Werner H Beekman; J Joris Hage; Martine D Nipshagen |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of plastic surgery Volume: 59 ISSN: 0148-7043 ISO Abbreviation: Ann Plast Surg Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-11-29 Completed Date: 2008-02-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: United States |
Other Details:
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Languages: eng Pagination: 629-34 Citation Subset: IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, County Hospital Hilversum, Hilversum, The Netherlands. danielle_esme@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Gynecomastia / surgery* Humans Lipectomy / instrumentation* Male Middle Aged Retrospective Studies Ultrasonics* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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