Surgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction
Background The treatment of gynecomastia depends on multiple factors, and the best modality is controversial. In this study, we aimed to determine the best management approach by comparing outcomes of two groups of patients with gynecomastia who received subcutaneous mastectomy combined with liposuc...
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| Veröffentlicht in: | Aesthetic plastic surgery 2016-12, Vol.40 (6), p.877-884 |
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| creator | Kim, Dae Hwa Byun, Il Hwan Lee, Won Jai Rah, Dong Kyun Kim, Ji Ye Lee, Dong Won |
| description | Background
The treatment of gynecomastia depends on multiple factors, and the best modality is controversial. In this study, we aimed to determine the best management approach by comparing outcomes of two groups of patients with gynecomastia who received subcutaneous mastectomy combined with liposuction and liposuction only.
Methods
We conducted a retrospective analysis of 64 patients who underwent surgery for gynecomastia. We divided the patients into two groups: group A, patients who underwent liposuction only; and group B, patients who underwent liposuction and subcutaneous mastectomy. The serial photographs of all patients were clinically evaluated with respect to size, shape, scarring, and overall outcome by three plastic surgeons, and patient satisfaction was surveyed with regard to palpable lumps, size, shape, scarring, and overall outcome.
Results
Of the 64 subjects, 16 received liposuction only, and 48 received the combination procedure. A total of 125 breasts were involved. The doctors’ scores for size and overall outcome were significantly better in the combination group, whereas scarring was better in the liposuction-only group. Similarly, patient satisfaction regarding size was significantly higher in the combination group, and satisfaction regarding scarring was significantly higher in the liposuction-only group. The scores for scarring in the combination treatment group were acceptable.
Conclusion
Our study shows that combination treatment with liposuction and subcutaneous mastectomy results in satisfactory outcomes, including the extent of scarring. We conclude that this combination treatment should be recommended as the standard surgical treatment for gynecomastia and can provide excellent results in cases where glandular tissue needs to be removed.
Level of Evidence V
This 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 Authors
www.springer.com/00266
. |
| doi_str_mv | 10.1007/s00266-016-0705-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1845816592</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1845816592</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-9b2922c85818e842aee5ec4e77d197d972c5acc7601fb9fdd75956bca30c24513</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMo7rr6A7xIwYuXapLmo_Emi67CiodV8BbSNF26tM2apIf-e7N2FRE8DHOYZ94ZHgDOEbxGEPIbDyFmLIUoFoc0HQ7AFJEMpxQTdAimMGMkxYi9T8CJ9xsIEeacHIMJ5owLQrMpWK56t661apJn1am1aU0XElsli6Ez2rbKh1rdJqu-0H1QnbG9j6APRgfbDonqymRZb63vdahtdwqOKtV4c7bvM_D2cP86f0yXL4un-d0y1RnHIRUFFhjrnOYoNznByhhqNDGcl0jwUnCsqdKaM4iqQlRlyamgrNAqgxoTirIZuBpzt85-9MYH2dZem6YZP5QoJzGbUYEjevkH3djedfG7LwoRTiiLFBop7az3zlRy6-pWuUEiKHeq5ahaRtVyp1oOcedin9wXrSl_Nr7dRgCPgI-jbm3cr9P_pn4CfdKJlg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1845147456</pqid></control><display><type>article</type><title>Surgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kim, Dae Hwa ; Byun, Il Hwan ; Lee, Won Jai ; Rah, Dong Kyun ; Kim, Ji Ye ; Lee, Dong Won</creator><creatorcontrib>Kim, Dae Hwa ; Byun, Il Hwan ; Lee, Won Jai ; Rah, Dong Kyun ; Kim, Ji Ye ; Lee, Dong Won</creatorcontrib><description>Background
The treatment of gynecomastia depends on multiple factors, and the best modality is controversial. In this study, we aimed to determine the best management approach by comparing outcomes of two groups of patients with gynecomastia who received subcutaneous mastectomy combined with liposuction and liposuction only.
Methods
We conducted a retrospective analysis of 64 patients who underwent surgery for gynecomastia. We divided the patients into two groups: group A, patients who underwent liposuction only; and group B, patients who underwent liposuction and subcutaneous mastectomy. The serial photographs of all patients were clinically evaluated with respect to size, shape, scarring, and overall outcome by three plastic surgeons, and patient satisfaction was surveyed with regard to palpable lumps, size, shape, scarring, and overall outcome.
Results
Of the 64 subjects, 16 received liposuction only, and 48 received the combination procedure. A total of 125 breasts were involved. The doctors’ scores for size and overall outcome were significantly better in the combination group, whereas scarring was better in the liposuction-only group. Similarly, patient satisfaction regarding size was significantly higher in the combination group, and satisfaction regarding scarring was significantly higher in the liposuction-only group. The scores for scarring in the combination treatment group were acceptable.
Conclusion
Our study shows that combination treatment with liposuction and subcutaneous mastectomy results in satisfactory outcomes, including the extent of scarring. We conclude that this combination treatment should be recommended as the standard surgical treatment for gynecomastia and can provide excellent results in cases where glandular tissue needs to be removed.
Level of Evidence V
This 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 Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-016-0705-y</identifier><identifier>PMID: 27679453</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Cohort Studies ; Combined Modality Therapy ; Esthetics ; Gynecomastia - diagnosis ; Gynecomastia - surgery ; Humans ; Lipectomy - methods ; Male ; Mastectomy, Subcutaneous - methods ; Medicine ; Medicine & Public Health ; Original Article ; Otorhinolaryngology ; Patients ; Photography ; Plastic Surgery ; Retrospective Studies ; Treatment Outcome ; Wound Healing - physiology ; Young Adult</subject><ispartof>Aesthetic plastic surgery, 2016-12, Vol.40 (6), p.877-884</ispartof><rights>Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2016</rights><rights>Aesthetic Plastic Surgery is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-9b2922c85818e842aee5ec4e77d197d972c5acc7601fb9fdd75956bca30c24513</citedby><cites>FETCH-LOGICAL-c372t-9b2922c85818e842aee5ec4e77d197d972c5acc7601fb9fdd75956bca30c24513</cites><orcidid>0000-0003-0046-3139</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00266-016-0705-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00266-016-0705-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27679453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Dae Hwa</creatorcontrib><creatorcontrib>Byun, Il Hwan</creatorcontrib><creatorcontrib>Lee, Won Jai</creatorcontrib><creatorcontrib>Rah, Dong Kyun</creatorcontrib><creatorcontrib>Kim, Ji Ye</creatorcontrib><creatorcontrib>Lee, Dong Won</creatorcontrib><title>Surgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
The treatment of gynecomastia depends on multiple factors, and the best modality is controversial. In this study, we aimed to determine the best management approach by comparing outcomes of two groups of patients with gynecomastia who received subcutaneous mastectomy combined with liposuction and liposuction only.
Methods
We conducted a retrospective analysis of 64 patients who underwent surgery for gynecomastia. We divided the patients into two groups: group A, patients who underwent liposuction only; and group B, patients who underwent liposuction and subcutaneous mastectomy. The serial photographs of all patients were clinically evaluated with respect to size, shape, scarring, and overall outcome by three plastic surgeons, and patient satisfaction was surveyed with regard to palpable lumps, size, shape, scarring, and overall outcome.
Results
Of the 64 subjects, 16 received liposuction only, and 48 received the combination procedure. A total of 125 breasts were involved. The doctors’ scores for size and overall outcome were significantly better in the combination group, whereas scarring was better in the liposuction-only group. Similarly, patient satisfaction regarding size was significantly higher in the combination group, and satisfaction regarding scarring was significantly higher in the liposuction-only group. The scores for scarring in the combination treatment group were acceptable.
Conclusion
Our study shows that combination treatment with liposuction and subcutaneous mastectomy results in satisfactory outcomes, including the extent of scarring. We conclude that this combination treatment should be recommended as the standard surgical treatment for gynecomastia and can provide excellent results in cases where glandular tissue needs to be removed.
Level of Evidence V
This 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 Authors
www.springer.com/00266
.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cohort Studies</subject><subject>Combined Modality Therapy</subject><subject>Esthetics</subject><subject>Gynecomastia - diagnosis</subject><subject>Gynecomastia - surgery</subject><subject>Humans</subject><subject>Lipectomy - methods</subject><subject>Male</subject><subject>Mastectomy, Subcutaneous - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Patients</subject><subject>Photography</subject><subject>Plastic Surgery</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Wound Healing - physiology</subject><subject>Young Adult</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LxDAQhoMo7rr6A7xIwYuXapLmo_Emi67CiodV8BbSNF26tM2apIf-e7N2FRE8DHOYZ94ZHgDOEbxGEPIbDyFmLIUoFoc0HQ7AFJEMpxQTdAimMGMkxYi9T8CJ9xsIEeacHIMJ5owLQrMpWK56t661apJn1am1aU0XElsli6Ez2rbKh1rdJqu-0H1QnbG9j6APRgfbDonqymRZb63vdahtdwqOKtV4c7bvM_D2cP86f0yXL4un-d0y1RnHIRUFFhjrnOYoNznByhhqNDGcl0jwUnCsqdKaM4iqQlRlyamgrNAqgxoTirIZuBpzt85-9MYH2dZem6YZP5QoJzGbUYEjevkH3djedfG7LwoRTiiLFBop7az3zlRy6-pWuUEiKHeq5ahaRtVyp1oOcedin9wXrSl_Nr7dRgCPgI-jbm3cr9P_pn4CfdKJlg</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Kim, Dae Hwa</creator><creator>Byun, Il Hwan</creator><creator>Lee, Won Jai</creator><creator>Rah, Dong Kyun</creator><creator>Kim, Ji Ye</creator><creator>Lee, Dong Won</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0046-3139</orcidid></search><sort><creationdate>20161201</creationdate><title>Surgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction</title><author>Kim, Dae Hwa ; Byun, Il Hwan ; Lee, Won Jai ; Rah, Dong Kyun ; Kim, Ji Ye ; Lee, Dong Won</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-9b2922c85818e842aee5ec4e77d197d972c5acc7601fb9fdd75956bca30c24513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cohort Studies</topic><topic>Combined Modality Therapy</topic><topic>Esthetics</topic><topic>Gynecomastia - diagnosis</topic><topic>Gynecomastia - surgery</topic><topic>Humans</topic><topic>Lipectomy - methods</topic><topic>Male</topic><topic>Mastectomy, Subcutaneous - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Patients</topic><topic>Photography</topic><topic>Plastic Surgery</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Wound Healing - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Dae Hwa</creatorcontrib><creatorcontrib>Byun, Il Hwan</creatorcontrib><creatorcontrib>Lee, Won Jai</creatorcontrib><creatorcontrib>Rah, Dong Kyun</creatorcontrib><creatorcontrib>Kim, Ji Ye</creatorcontrib><creatorcontrib>Lee, Dong Won</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Dae Hwa</au><au>Byun, Il Hwan</au><au>Lee, Won Jai</au><au>Rah, Dong Kyun</au><au>Kim, Ji Ye</au><au>Lee, Dong Won</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>40</volume><issue>6</issue><spage>877</spage><epage>884</epage><pages>877-884</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
The treatment of gynecomastia depends on multiple factors, and the best modality is controversial. In this study, we aimed to determine the best management approach by comparing outcomes of two groups of patients with gynecomastia who received subcutaneous mastectomy combined with liposuction and liposuction only.
Methods
We conducted a retrospective analysis of 64 patients who underwent surgery for gynecomastia. We divided the patients into two groups: group A, patients who underwent liposuction only; and group B, patients who underwent liposuction and subcutaneous mastectomy. The serial photographs of all patients were clinically evaluated with respect to size, shape, scarring, and overall outcome by three plastic surgeons, and patient satisfaction was surveyed with regard to palpable lumps, size, shape, scarring, and overall outcome.
Results
Of the 64 subjects, 16 received liposuction only, and 48 received the combination procedure. A total of 125 breasts were involved. The doctors’ scores for size and overall outcome were significantly better in the combination group, whereas scarring was better in the liposuction-only group. Similarly, patient satisfaction regarding size was significantly higher in the combination group, and satisfaction regarding scarring was significantly higher in the liposuction-only group. The scores for scarring in the combination treatment group were acceptable.
Conclusion
Our study shows that combination treatment with liposuction and subcutaneous mastectomy results in satisfactory outcomes, including the extent of scarring. We conclude that this combination treatment should be recommended as the standard surgical treatment for gynecomastia and can provide excellent results in cases where glandular tissue needs to be removed.
Level of Evidence V
This 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 Authors
www.springer.com/00266
.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27679453</pmid><doi>10.1007/s00266-016-0705-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0046-3139</orcidid></addata></record> |
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| ispartof | Aesthetic plastic surgery, 2016-12, Vol.40 (6), p.877-884 |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adolescent Adult Cohort Studies Combined Modality Therapy Esthetics Gynecomastia - diagnosis Gynecomastia - surgery Humans Lipectomy - methods Male Mastectomy, Subcutaneous - methods Medicine Medicine & Public Health Original Article Otorhinolaryngology Patients Photography Plastic Surgery Retrospective Studies Treatment Outcome Wound Healing - physiology Young Adult |
| title | Surgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction |
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