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Related Experiment Videos

Gynecomastia: an outcome analysis.

Irvin M Wiesman1, James A Lehman, Michael G Parker

  • 1Division of Plastic and Reconstructive Surgery, SUMMA Health System/Northeast Ohio Universities College of Medicine, Akron, Ohio, USA.

Annals of Plastic Surgery
|July 23, 2004
PubMed
Summary
This summary is machine-generated.

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For grade III gynecomastia, skin-sparing surgical procedures are recommended as the initial treatment. These techniques effectively treat most patients, minimizing the need for revisions and improving outcomes.

Area of Science:

  • Plastic Surgery
  • Surgical Oncology

Background:

  • Gynecomastia, characterized by female-like mammary glands in males, causes significant psychological distress.
  • Surgical intervention is a common treatment for this condition.

Purpose of the Study:

  • To evaluate the effectiveness and complication rates of different surgical procedures for gynecomastia.
  • To determine the optimal surgical approach for different grades of gynecomastia, particularly grade III.

Main Methods:

  • A retrospective chart review of 174 male patients who underwent surgical treatment for gynecomastia between 1976 and 2001.
  • Procedures included excision, suction-assisted lipectomy (SAL), skin excision (skin), and combinations thereof.

Main Results:

  • The overall complication rate was 20%, with no significant difference across grades or procedures.

Related Experiment Videos

  • Revision rates varied by grade: Grade I (10.3%), Grade II (14.5%), and Grade III (34.8%).
  • For grade III gynecomastia, skin-sparing procedures adequately treated 77% of patients, with similar revision rates compared to excision +/- SAL.
  • Conclusions:

    • Skin-sparing operations are recommended as the primary surgical choice for most grade III gynecomastia patients.
    • This approach offers effective treatment and can reduce the need for subsequent scar-forming revisions.