Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

The combined surgical treatment of High-Grade Gynecomastia (grad IIb-III simons)

Document Type : Research Paper

Authors
Ezzatolla Rezaei 1
Arash Beiraghi-Toosi 2
1 Associate Professor of Plastic Surgery. Endoscopic & Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant Professor of Plastic Surgery. Endoscopic & Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/mjms.2013.1957
Abstract
Introduction
Gynecomastia is the proliferation of the glandular tissue of the male breast with a prevalence of 40 to 56 percent of men. Its etiology is varied. In this study, we performed a combined surgical method using liposuction, resection of the remaining tissue (pull through), and circumareolar skin excision and presented the results.
Materials and Methods
This was a prospective study carried out from 1388 to 1391 on 15 male patients (30 breasts) with gynecomastia. Patient data including grade, technique, and operations were evaluated.
Results
The mean age was 22 years, (min=16, max=35). Resection of the remaining tissue was required in 8 patients. The mean amount of resection was 20 gr. Of these, 6 patients were grade IIb and 2 grade III Simons. In 7 cases, no glandular tissue was palpated following liposuction and no incision was required for excision of tissue. Among these, 4 patients were grade IIb and 3 grade III Simons.
Conclusion
We recommend liposuction with or without excision of remaining tissue for grade I and II Simons gynecomastia and the combined liposuction, pull through, periareolar skin excision technique for grade III cases.
Keywords
Gynecomastia
Liposuction
Periareolar skin excision
Medical Journal of Mashhad university of Medical Sciences
Volume 56, Issue 5 - Serial Number 5
December 2013
Pages 295-299