Harinatha Sreekar
Department of Plastic and Cosmetic Surgery, Contura Clinic, Bangalore, India.
World J Plast Surg. 2020 Jan;9(1):33-38. doi: 10.29252/wjps.9.1.33.
Gynecomastia is a common cosmetic issue in India. Many combinations of liposuction and excision of the gland have been advocated. Complete removal of the breast leaves behind a contour deformity and hence a sliver of it needs to be left behind. This study used a consistent and versatile technique for correction of gynecomastia by a superior dynamic flap method.
A retrospective study was conducted in 1159 gynecomastia surgeries done from March 2013 to February 2019. All these patients were treated by a single surgeon using the superior dynamic flap method in a single center and the results were assessed with patient and surgeon satisfaction scores. The technique involved leaving behind a thin sliver of the gland in order to avoid contour deformity and achieve a smoother shape overall.
Minor complications were seen in 27 patients and the satisfaction scores were 8.9 and 8.79 in patients and surgeon, respectively. There was no incidence of contour deformity after the procedure.
Superior dynamic flap method was a versatile technique and allowed the surgeon not only to avoid contour deformities, but also to correct asymmetries.
男性乳房肥大在印度是一个常见的美容问题。人们提倡采用多种抽脂与腺体切除相结合的方法。完全切除乳房会留下轮廓畸形，因此需要保留一小部分腺体。本研究采用一种一致且通用的技术，通过一种改良的动态皮瓣法来矫正男性乳房肥大。
对2013年3月至2019年2月期间进行的1159例男性乳房肥大手术进行回顾性研究。所有这些患者均由同一外科医生在单一中心采用改良的动态皮瓣法进行治疗，并通过患者和外科医生满意度评分来评估结果。该技术包括保留一小部分腺体，以避免轮廓畸形并整体获得更平滑的外形。
27例患者出现轻微并发症，患者和外科医生的满意度评分分别为8.9和8.79。术后未发生轮廓畸形。
改良的动态皮瓣法是一种通用技术，使外科医生不仅能够避免轮廓畸形，还能矫正不对称情况。
