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The Egyptian Journal of Plastic and Reconstructive Surgery
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Khatter, A., Zahra, T., Abdelhalim, M., Shouman, O., Zeina, A. (2020). Surgical Management of Different Grades of Gynecomastia; Retrospective Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), 303-309. doi: 10.21608/ejprs.2020.112522
Amr M. E. Khatter; Tarek Zahra; Mostafa Abdelhalim; Omar Osama Shouman; Ahmed M. Zeina. "Surgical Management of Different Grades of Gynecomastia; Retrospective Study". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 2, 2020, 303-309. doi: 10.21608/ejprs.2020.112522
Khatter, A., Zahra, T., Abdelhalim, M., Shouman, O., Zeina, A. (2020). 'Surgical Management of Different Grades of Gynecomastia; Retrospective Study', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), pp. 303-309. doi: 10.21608/ejprs.2020.112522
Khatter, A., Zahra, T., Abdelhalim, M., Shouman, O., Zeina, A. Surgical Management of Different Grades of Gynecomastia; Retrospective Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(2): 303-309. doi: 10.21608/ejprs.2020.112522

Surgical Management of Different Grades of Gynecomastia; Retrospective Study

Article 9, Volume 44, Issue 2, April 2020, Page 303-309  XML PDF (12.67 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2020.112522
View on SCiNiTO View on SCiNiTO
Authors
Amr M. E. Khatter* ; Tarek Zahra; Mostafa Abdelhalim; Omar Osama Shouman; Ahmed M. Zeina
The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Mansoura University
Abstract
Gynecomastia is the commonest clinical breast condition
in males. This study had described surgical approaches done
for different grades of gynecomastia. Eighty seven cases had
been operated for gynecomastia were analyzed in this study
from 2016 to 2019. One hundred and sixty three breasts, the
clinical data regarding patients' satisfaction, breast size, breasts
symmetry, shape and symmetry of the nipple areola complex
and shape of their scars were evaluated. All cases were satisfied
about the results of surgery; however patients with grade IV
showed concerns about scars. Plastic surgeons treat many
male patients that complain of breast enlargement and ask for
surgical correction of their deformities. A surgical algorithm
is needed for management of different grades of gynecomastia.
Breast size, glandular ptosis and skin redundancy are the
critical factors for the choice of the surgical technique
Keywords
Breast; Gynecomastia; Liposuction; Nipple; Ptosis
Main Subjects
Aesthetics
References
Hammond D.C.: Surgical correction of gynecomastia.
Plast. Reconstr. Surg., 124: 61e-68e, 2009.
2- Ruan W., Monaco M.E. and Kleinberg D.L.: Progesterone
stimulates mammary gland ductal morphogenesis by
synergizing with and enhancing insulin-like growth factor-
I action. Endocrinology, 146 (3): 1170-1178, 2005.
3- Bannayan G.A. and Hajdu S.I.: Gynecomastia: Clinicopathologic
study of 351 cases. Am. J. Clin. Pathol., 57:
431-437, 1972.
4- Fruhstorfer B.H. and Malata C.M.: A systematic approach
to the surgical treatment of gynaecomastia. Br. J. Plast.
Surg., 56 (3): 237-246, 2003.
5- Liao E.C., Kish J.B. and Hertl M.C.: Incidental discovery
of bilateral breast cancer in a 24-year-old man presenting
with gynecomastia. Ann. Plast. Surg., 58 (6): 673-676,
2007.
6- Simon B.E., Hoffman S. and Kahn S.: Classification and
surgical correction of gynecomastia. Plast. Reconstr.
Surg., 51 (1): 48-52, 1973.
Egypt, J. Plast. Reconstr. Surg., April 2020 309
7- Cordova A. and Moschella F.: Algorithm for clinical
evaluation and surgical treatment of gynaecomastia. J.
Plast. Reconstr. Aesthet. Surg., 61 (1): 41-49, 2008.
8- Colombo-Benkmann M., Buse B., Stern J., et al.: Indications
for and results of surgical therapy for male gynecomastia.
Am. J. Surg., 178 (1): 60e3, 1999.
9- Monarca C. and Rizzo M.I.: Gynecomastia: Tips and
tricks. Classification and surgical approach. Plast. Reconstr.
Surg., 131: 863e-865e, 2013.
10- Lanitis S., Starren E., Read J., et al.: Surgical management
of gynaecomastia: Outcomes from our experience. Breast,
17: 596-603, 2008.
11- Soliman A.T.1, De Sanctis V. and Yassin M.: Management
of Adolescent Gynecomastia: An Update. Acta. Biomed.,
88 (2): 204-213, 2017.
12- Webster J.P.: Mastectomy for gynecomastia through a
semicircular intra-areolar incision. Ann. Surg., 124: 557-
575, 1946.
13- Fischer A. and Fischer G.: First surgical treatment for
molding body's cellulite with three 5mm incisions. Bull.
Int. Acad. Cosmet. Surg., 3: 35, 1976.
14- Abramo A.C.: Axillary approach for gynecomastia liposuction.
Aesthetic Plast. Surg., 18 (3): 265-8, 1994.
15- Hodgson E.L., Fruhstorfer B.H. and Malata C.M.: Ultrasonic
liposuction in the treatment of gynecomastia. Plast.
Reconstr. Surg., 116: 646-653; discussion 654-655, 2005.
16- Lista F. and Ahmad J.: Power assisted liposuction and the
pull through technique for the treatment of gynecomastia.
Plast. Reconstr. Surg., 121: 740-747, 2008.
17- Rohrich R.J., Ha R.Y., Kenkel J.M., et al.: Classification
and management of gynecomastia: Defining the role of
ultrasound assisted liposuction. Plast. Reconstr. Surg.,
111: 909-923; discussion 924-925, 2003.
18- Waltho D., Hatchell A. and Thoma A.: Gynecomastia
Classification for Surgical Management: A Systematic
Review and Novel Classification System. Plast. Reconstr.
Surg., 139 (3): 638e-648e, 2017.
19- Hammond D.C., Arnold J.F., Simon A.M. and Caparo
P.A.: Combined use of ultrasonic liposuction with the
pull through technique for the treatment of gynecomastia.
Plast. Reconstr. Surg., 112: 891-895; discussion 896-897,
2003.
20- Prado A.C. and Castillo P.F.: Minimal surgical access to
treat gynecomastia with the use of a power-assisted
arthroscopic-endoscopic cartilage shaver. Plast. Reconstr.
Surg., 115 (3): 939-942, 2005.
21- Benelli L.: A new periareolar mammaplasty: The ''round
block'' technique. Aesthetic Plast. Surg., 14 (2): 93e100,
1990.
22- Benelli L.C.: Periareolar Benelli mastopexy and reduction:
The ''Round Block''. In: Spear S.L., editor. Surgery of the
breast: Principles and art. 1st ed. Philadelphia: Lippincott-
Raven, p. 685-696, 1998.
23- Li C.C., Fu J.P., Chang S.C., et al.: Surgical Treatment
of Gynecomastia: Complications and Outcomes. Ann.
Plast. Surg., 69: 510-515, 2012.
24- Kasielska A. and Antoszewski B.: Surgical Management
of Gynecomastia: An Outcome Analysis. Ann. Plast. Surg.,
71: 471-475, 2013

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