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[Gynecomastia treated by subcutaneous mastectomy using Webster's method]
H H Noer1, N H Søe-Nielsen, J Gottlieb
1Plastikkirurgisk afdeling, Københavns Amts Sygehus i Gentofte.
Ugeskrift for Laeger
|February 18, 1991
Summary
Webster's surgical method for gynecomastia is effective for normal-weight patients but often unsatisfactory for overweight individuals due to technical difficulties and suboptimal cosmetic outcomes.
Area of Science:
- Plastic Surgery
- Endocrinology
Context:
- Gynecomastia, a condition of male breast enlargement, affects patients for cosmetic and psychological reasons.
- Surgical intervention is a common treatment for persistent gynecomastia.
Purpose:
- To evaluate the efficacy and patient satisfaction of Webster's surgical method for gynecomastia treatment.
- To assess the impact of patient weight on surgical outcomes and cosmetic results.
Summary:
- Webster's method, utilizing an infraareolar incision, was applied to 23 gynecomastia patients (Stages 1-2B) between 1983-1989.
- Cosmetic reasons were primary for 70% of patients; common sequelae included inverted areolae and hypesthesia.
- Overweight patients reported significantly lower satisfaction (2/3 dissatisfied) compared to normal-weight patients (2/3 satisfied).
Impact:
- Webster's method is technically challenging in overweight patients with significant subcutaneous tissue, leading to poor cosmetic results.
- The study suggests that Webster's method alone is not recommended for surgical treatment of gynecomastia in overweight individuals.
- Findings highlight the importance of patient weight in surgical planning for gynecomastia to achieve optimal cosmetic outcomes.