Murali Biju, Vijayaraghavan Sundeep, Kishore P, Iyer Subramania, Jimmy Mathew, Sharma Mohit, Paul George, Chavare Sachin
Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, India.
Indian J Plast Surg. 2011 Jan;44(1):81-6. doi: 10.4103/0970-0358.81451.
Gynaecomastia is usually treated with liposuction or liposuction with excision of the glandular tissue. The type of surgery chosen depends on the grade of the condition.
Because gynaecomastia is treated primarily as a cosmetic procedure, we aimed at reducing the invasiveness of the surgery.
The technique complies with all recommended protocols for different grades of gynaecomastia. It uses liposuction, gland excision, or both, leaving only minimal post-operative scars. The use of cross-chest liposuction through incisions on the edge of the areola helps to get rid of all the fat under the areola without an additional scar as in the conventional method.
This is a short series of 20 patients, all with bilateral gynaecomastia (i.e., 40 breasts), belonging to Simon's Stage 1 and 2, studied over a period of 2 years. The average period of follow-up was 15 months. Post-operative complications were reported in only two cases, with none showing long-term complications or issues specifically due to the procedure.
Cross-chest liposuction for gynaecomastia is a simple yet effective surgical tool in bilateral gynaecomastia treatment to decrease the post-operative scars. The use of techniques like incision line drain placement and post-drain removal suturing of wounds aid in decreasing the scar.
男性乳房肥大通常采用抽脂术或抽脂术联合腺体组织切除术进行治疗。所选择的手术类型取决于病情的分级。
由于男性乳房肥大主要作为一种美容手术进行治疗，我们旨在降低手术的侵入性。
该技术符合针对不同分级男性乳房肥大的所有推荐方案。它采用抽脂术、腺体切除术或两者结合，术后仅留下最小的疤痕。通过乳晕边缘切口进行跨胸抽脂有助于去除乳晕下的所有脂肪，而不会像传统方法那样留下额外的疤痕。
这是一组简短的研究，共20例患者，均为双侧男性乳房肥大（即40个乳房），属于西蒙斯1期和2期，研究时间为2年。平均随访期为15个月。仅2例报告了术后并发症，没有一例出现长期并发症或因该手术导致的特定问题。
对于双侧男性乳房肥大的治疗，跨胸抽脂术是一种简单而有效的手术方法，可减少术后疤痕。采用如切口线引流放置和引流拔除后伤口缝合等技术有助于减少疤痕。
