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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....

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Autor principal: Caridi, Robert C.
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
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author Caridi, Robert C.
author_facet Caridi, Robert C.
author_sort Caridi, Robert C.
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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.
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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
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