Elhadidy, R., Ibrahim, A., Shouman, O., Elsherifa, A. (2024). Liposuction Assisted De-Epithelialization Pull-Through Technique for Management of Grade IIB and III Gynecomastia. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(2), 155-161. doi: 10.21608/ejprs.2024.352139
Rowan Almoddather Elhadidy; Ahmed Abdelmonem Ibrahim; Omar Osama Shouman; Ahmed Abdelfattah Elsherifa. "Liposuction Assisted De-Epithelialization Pull-Through Technique for Management of Grade IIB and III Gynecomastia". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 2, 2024, 155-161. doi: 10.21608/ejprs.2024.352139
Elhadidy, R., Ibrahim, A., Shouman, O., Elsherifa, A. (2024). 'Liposuction Assisted De-Epithelialization Pull-Through Technique for Management of Grade IIB and III Gynecomastia', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(2), pp. 155-161. doi: 10.21608/ejprs.2024.352139
Elhadidy, R., Ibrahim, A., Shouman, O., Elsherifa, A. Liposuction Assisted De-Epithelialization Pull-Through Technique for Management of Grade IIB and III Gynecomastia. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(2): 155-161. doi: 10.21608/ejprs.2024.352139
Liposuction Assisted De-Epithelialization Pull-Through Technique for Management of Grade IIB and III Gynecomastia
1The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Mansoura University
2The Department of General Surgery, Faculty of Medicine, Mansoura University
Abstract
Background: Gynecomastia is an abnormal and benign enlargement of male breast tissue. It occurs as a result of an imbalance between estrogen and androgen levels that may be due to a physiological or pathological cause. Multiple surgical approaches have been recommended to manage this problem. It is widely accepted that liposuction solely or when combined with subcutaneous mastectomy is effective for the management of low to intermediate grades of gynecomastia. However, liposuction along with subcutaneous mastectomy gives unsatisfactory results in high grades where there is excess redundant skin that needs excision. Several skin incisions have been mentioned in literature for excision of excess skin, however, some of these are accompanied by unaesthetic scars. Objective: To assess the outcome of surgical correction of high grades of gynecomastia in a single-stage procedure. Patients and Methods: We conducted a prospective analysis on 20 patients with grades IIb or III gynecomastia who underwent single-stage procedures. Photographs were clinically evaluated by two independent surgeons with respect to chest contour, symmetry, scar, and residual ptosis. Patient satisfaction was surveyed regarding chest contour and scar appearance. Results: Statistical analysis revealed a significant improvement in patient’s clinical measurements after operation, good doctor’s scoring and patient satisfaction scoring among studied cases, and accepted complication rates. Conclusions: The current approach eliminates the need for skin resection in a second surgery, permits immediate skin recontouring, and achieves an acceptable aesthetic scar.
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