Ramasamy Karthik, Jagadish Kiran Appaka C V, Jesudass Joyce, Raj Sunitha
Chennai Plastic Surgery, Chennai, Tamil Nadu, India.
Plast Reconstr Surg Glob Open. 2022 May 19;10(5):e4339. doi: 10.1097/GOX.0000000000004339. eCollection 2022 May.
Gynecomastia is found to be a common cosmetic problem. Many techniques are currently available for the surgical treatment of gynecomastia, reported to be effective, with limited scar formation. The main objective of our unique reproducible nipple-areola complex (NAC) lifting technique is the management of skin redundancy in severe gynecomastia and positioning the NAC at an aesthetically pleasing site on the chest, for men.
A retrospective study was conducted in 30 gynecomastia surgeries of grade III and IV done from January 2019 to December 2020. All these patients were treated by using the NAC lifting technique in our centre, and the results were assessed with patient and surgeon satisfaction scores. This lifting plaster technique is used after the skin closure of the Webster incision. The U slit in the lifting plaster prevents the wrinkling of the NAC and also avoids the second stage surgery for most of the cases of severe gynecomastia.
A retrospective analysis showed that all patients were satisfied with the technique and none of the patients returned for the second stage surgery. Minimal residual skin redundancy was observed, but it was not severe to necessitate a secondary procedure. All patients were satisfied and comfortable with the final outcome.There was no incidence of contour deformity after the procedure.
This technique takes advantage of the elastic recoiling property of the skin and helps in re-draping the redundant skin on the chest wall and in positionining the NAC at an aesthetically pleasing position on the chest.
男性乳房肥大是一种常见的美容问题。目前有许多技术可用于男性乳房肥大的手术治疗，据报道这些技术有效，且瘢痕形成有限。我们独特的可重复乳头乳晕复合体（NAC）提升技术的主要目标是处理重度男性乳房肥大中的皮肤冗余问题，并将NAC置于胸部美观的位置。
对2019年1月至2020年12月期间进行的30例III级和IV级男性乳房肥大手术进行回顾性研究。所有这些患者均在我们中心采用NAC提升技术进行治疗，并通过患者和外科医生满意度评分来评估结果。这种提升石膏技术在韦伯斯特切口皮肤闭合后使用。提升石膏中的U形切口可防止NAC起皱，并且在大多数重度男性乳房肥大病例中避免了二期手术。
回顾性分析显示所有患者对该技术均满意，且无一例患者返回进行二期手术。观察到最小的残余皮肤冗余，但并不严重到需要二次手术。所有患者对最终结果均满意且感觉舒适。术后未发生轮廓畸形。
该技术利用了皮肤的弹性回缩特性，有助于将胸部多余的皮肤重新覆盖，并将NAC置于胸部美观的位置。
