Cargando…
Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases
Conventional teaching dictates subtotal removal of gynecomastia tissue to ensure a cosmetically acceptable result. Modern-day concerns regarding gynecomastia treatment include continued “puffy nipples,” possible recurrence, and compromised aesthetic results resulting from incomplete tissue removal....
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007201/ https://www.ncbi.nlm.nih.gov/pubmed/35433158 http://dx.doi.org/10.1097/GOX.0000000000004256 |
_version_ | 1784686800846979072 |
---|---|
author | Caridi, Robert C. |
author_facet | Caridi, Robert C. |
author_sort | Caridi, Robert C. |
collection | PubMed |
description | Conventional teaching dictates subtotal removal of gynecomastia tissue to ensure a cosmetically acceptable result. Modern-day concerns regarding gynecomastia treatment include continued “puffy nipples,” possible recurrence, and compromised aesthetic results resulting from incomplete tissue removal. The author practiced complete tissue removal with a layered closure technique to optimize the cosmetic result while addressing treatment complications. METHODS: A single surgeon treated 567 patients using a standard four-step approach with complete tissue removal. A retrospective chart review was performed to assess complications and reason for surgical revision. RESULTS: All revision procedures were for postoperative scar tissue accumulation. No revisions for complaints of contour depression, recurrence, or continued puffy nipples were noted. No necrosis of the nipple-areola complex or skin was noted. CONCLUSIONS: Complete removal of gynecomastia tissue was not only possible but also essential to achieve optimal cosmetic results. The layered closure technique is a useful adjunctive treatment after gynecomastia total tissue removal. |
format | Online Article Text |
id | pubmed-9007201 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-90072012022-04-14 Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases Caridi, Robert C. Plast Reconstr Surg Glob Open Breast Conventional teaching dictates subtotal removal of gynecomastia tissue to ensure a cosmetically acceptable result. Modern-day concerns regarding gynecomastia treatment include continued “puffy nipples,” possible recurrence, and compromised aesthetic results resulting from incomplete tissue removal. The author practiced complete tissue removal with a layered closure technique to optimize the cosmetic result while addressing treatment complications. METHODS: A single surgeon treated 567 patients using a standard four-step approach with complete tissue removal. A retrospective chart review was performed to assess complications and reason for surgical revision. RESULTS: All revision procedures were for postoperative scar tissue accumulation. No revisions for complaints of contour depression, recurrence, or continued puffy nipples were noted. No necrosis of the nipple-areola complex or skin was noted. CONCLUSIONS: Complete removal of gynecomastia tissue was not only possible but also essential to achieve optimal cosmetic results. The layered closure technique is a useful adjunctive treatment after gynecomastia total tissue removal. Lippincott Williams & Wilkins 2022-04-13 /pmc/articles/PMC9007201/ /pubmed/35433158 http://dx.doi.org/10.1097/GOX.0000000000004256 Text en Copyright © 2022 The Author. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Breast Caridi, Robert C. Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases |
title | Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases |
title_full | Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases |
title_fullStr | Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases |
title_full_unstemmed | Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases |
title_short | Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases |
title_sort | total gynecomastia removal with layered closure: a study of 567 cases |
topic | Breast |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007201/ https://www.ncbi.nlm.nih.gov/pubmed/35433158 http://dx.doi.org/10.1097/GOX.0000000000004256 |
work_keys_str_mv | AT caridirobertc totalgynecomastiaremovalwithlayeredclosureastudyof567cases |