Effect of small-incision liposuction of the areolar margin combined with subcutaneous adipose glandular tissue excision in the treatment of fatty gynecomastia
10.3760/cma.j.issn.1671-0290.2024.04.005
- VernacularTitle:乳晕缘小切口吸脂联合皮下脂肪腺体组织切除术治疗脂肪型男子乳房发育的效果
- Author:
Xiaoya LIU
1
;
Yifan WANG
;
Baosan HAN
;
Bingshuai SHI
Author Information
1. 河南大学第一附属医院乳腺甲状腺整形外科，开封 475001
- Keywords:
Gynecomastia;
Small incision;
Liposuction;
Resection of adipose and gland tissue;
Fatty gynecomastia
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(4):324-328
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of small-incision liposuction combined with subcutaneous adipose glandular tissue excision at the areolar margin for the treatment of fatty gynecomastia.Methods:From January 2018 to October 2022, 179 patients with gynecomastia were admitted to the Breast, Thyroid, and Plastic Surgery Department of the First Affiliated Hospital of Henan University and the Breast Surgery Department of Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, who underwent small incision liposuction combined with subcutaneous fat and gland tissue resection at the areolar edge, with ages ranging from 18 to 56 (35.0±8.1) years. The patients were followed up at 3 weeks, 3 months and 6 months after surgery to evaluate the treatment effect, patient satisfaction and complications.Results:The surgical time of 179 patients ranged from 26 minutes to 130 minutes, and intraoperative bleeding ranged from 10 ml to 50 ml. All patients underwent successful surgery and were discharged within 2-5 days. Postoperative subcutaneous haematoma was found in 3 patients (1.68%), nipple areola numbness in 32 patients (17.88%), subcutaneous effusion in 5 patients (2.79%) and epidermal blisters in 7 patients (3.91%). After 6 months of follow-up, 149 patients (91.41%) were satisfied.Conclusions:The treatment of gynecomastia by liposuction combined with subcutaneous adipose and glandular tissue excision through a small incision at the edge of the areola is aesthetically pleasing and less traumatic, with fewer complications; it is safe and worthy of clinical application.
