{"title":"Extensive Ultrasonic Liposuction in Gynecomastia: An Alternative Approach without Surgical Gland Excision","authors":"A. Eyuboğlu","doi":"10.30733/std.2023.01699","DOIUrl":null,"url":null,"abstract":"Aim: Skin and gland removals made on the chest wall may result in noticeable scars that can be challenging for patients to tolerate. This \nstudy aimed to define an extensive ultrasonic liposuction approach without surgical excision for gynecomastia. We also investigated its \neffectiveness in reducing complications and improving cosmetic outcomes. \nMaterials and Methods: Gynecomastia patients with Rohrich grades II and III were evaluated according to skin quality. 46 patients who \nmet these criteria underwent ultrasonic liposuction performed by the senior author between February 2021 and April 2023. These patients \nwere compared with 58 who underwent surgery using suction-assisted liposuction combined with peri areolar mastopexy and glandular \nexcision. \nResults: Our study found that patients who underwent extensive ultrasonic liposuction had a complication rate of 8.7%. Of the total number \nof patients, only one experienced a seroma complication, and three experienced residual breast tissue/ptosis. None of the patients required \nrevision surgery. In comparison, the control group that underwent peri-areolar mastopexy and glandular excision had a higher complication rate \n(10.3%). \nConclusion: We used the basic principles of plastic surgery for wound contraction. Distributing the wound healing mechanisms to a broad \nsurface allowed us to achieve better cosmetics without forming a noticeable scar on the chest wall. \nKeywords: Breast Ptosis, Extensive Liposuction, Gynecomastia Surgery, Ultrasonic Liposuction, Vaser Liposuction","PeriodicalId":332557,"journal":{"name":"Selcuk Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Selcuk Tip Dergisi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30733/std.2023.01699","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: Skin and gland removals made on the chest wall may result in noticeable scars that can be challenging for patients to tolerate. This
study aimed to define an extensive ultrasonic liposuction approach without surgical excision for gynecomastia. We also investigated its
effectiveness in reducing complications and improving cosmetic outcomes.
Materials and Methods: Gynecomastia patients with Rohrich grades II and III were evaluated according to skin quality. 46 patients who
met these criteria underwent ultrasonic liposuction performed by the senior author between February 2021 and April 2023. These patients
were compared with 58 who underwent surgery using suction-assisted liposuction combined with peri areolar mastopexy and glandular
excision.
Results: Our study found that patients who underwent extensive ultrasonic liposuction had a complication rate of 8.7%. Of the total number
of patients, only one experienced a seroma complication, and three experienced residual breast tissue/ptosis. None of the patients required
revision surgery. In comparison, the control group that underwent peri-areolar mastopexy and glandular excision had a higher complication rate
(10.3%).
Conclusion: We used the basic principles of plastic surgery for wound contraction. Distributing the wound healing mechanisms to a broad
surface allowed us to achieve better cosmetics without forming a noticeable scar on the chest wall.
Keywords: Breast Ptosis, Extensive Liposuction, Gynecomastia Surgery, Ultrasonic Liposuction, Vaser Liposuction