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Line Loss01:10

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The different configurations of source-load connections include wye (star) and delta connections. The relationship between line and phase voltages and currents varies depending on the configuration. When the source is supplying power, it is transmitted through the wires to the load, and during this transmission, some power is absorbed by the wires, leading to line loss.
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Modified Treatment Algorithm for Pseudogynecomastia After Massive Weight Loss.

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This study proposes an improved treatment algorithm for pseudogynecomastia obese (PO) after massive weight loss. The modified Gusenoff classification aims for more masculine outcomes in male breast reduction surgery.

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Area of Science:

  • Plastic Surgery
  • Male Aesthetic Procedures
  • Body Contouring

Background:

  • Pseudogynecomastia involves excess fatty tissue in the male breast, appearing in obese (PO) and non-obese forms.
  • The existing Gusenoff classification for PO is limited in addressing variable fat and skin excess, impacting surgical planning.
  • Current treatment algorithms may not fully optimize aesthetic results for male breast reduction.

Purpose of the Study:

  • To propose a modified treatment algorithm for pseudogynecomastia obese (PO) based on the Gusenoff classification.
  • To enhance surgical planning and achieve more masculine aesthetic outcomes for male patients.
  • To address the limitations of the current classification in managing residual fat and skin excess.

Main Methods:

  • Retrospective study of 43 male patients with PO undergoing surgical correction.
  • Classification of patients according to Gusenoff grades (1a, 1b, 2, 3).
  • Surgical procedures included mastectomy with free nipple-areola complex (NAC) transposition and subcutaneous mastectomy with periareolar lifting.

Main Results:

  • Forty-two patients underwent mastectomy with free NAC transposition; one had subcutaneous mastectomy.
  • No free nipple-areola complex grafts were lost post-surgery.
  • A high rate of nipple-areola complex (NAC) resensitivity was observed in 95% of patients.

Conclusions:

  • The Gusenoff classification for pseudogynecomastia requires modification for optimal surgical outcomes.
  • An adapted treatment algorithm is recommended to achieve more masculine results in male breast reduction.
  • The proposed modifications aim to improve patient satisfaction and aesthetic results in PO treatment.