Correction of Lipomastia through a Stab Incision on the Nipple Areolar Junction.
10.14730/aaps.2014.20.1.31
- Author:
Sang Yub YOON
1
;
Min Gu KANG
Author Information
1. Silhouette Clinic Center for Breast and Body Contouring (CBBC), Seoul, Korea. pssurgeon@korea.com
- Publication Type:Original Article
- Keywords:
Gynecomastia;
Liposuction;
Nipple
- MeSH:
Adipose Tissue;
Breast;
Cicatrix;
Gynecomastia;
Hematoma;
Humans;
Lipectomy;
Male;
Nipples*;
Retrospective Studies
- From:Archives of Aesthetic Plastic Surgery
2014;20(1):31-35
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Lipomastia (pseudogynecomastia, fatty-type gynecomastia) is defined as the benign enlargement of the male breast attributable to accumulation of the adipose tissue. The aim of this study is to describe the experiences of a stab incision on the nipple areolar junction method to the correction of lipomastia. The authors present a combined method ultrasound-assisted liposuction in conjunction with a shaver technique to effectively remove the fatty and fibro-glandular tissues of the male breast and avoid noticeable scar. METHODS: A retrospective analysis was made of 500 cases of lipomastia operated on in the last 16 months via sub-nipple approach. The extent of the clinical result, the technique employed, and the complications were observed. RESULTS: The volume of liposuction from each side ranged from 30 to 500 mL (median, 175 mL) and the median weight of the fibro-glandular tissue was 10.5 grams. Major complications from this procedure include undercorrection, overcorrection, infection, and hematoma. Our total major complication rate was 1.8%. CONCLUSIONS: These techniques of a sub-nipple stab incision are also alternative to correct lipomastia, avoiding undesirable scars.