Courtiss E H
Plast Reconstr Surg. 1987 May;79(5):740-53. doi: 10.1097/00006534-198705000-00010.
Gynecomastia has been treated surgically in 159 patients during the past 22 1/2 years. Prior to 1980, all patients had traditional excision, which was followed by a high incidence of complications and undesired sequelae, not the least of which was that the results of this aesthetic operation were often unaesthetic. Since 1980, when suction lipectomy became the cornerstone of treatment, the results have been much better. As a result, current recommendations for treatment are as follows: If the gynecomastia is entirely due to fat, suction lipectomy alone is sufficient treatment. However, since suction will not remove breast parenchyma, those patients whose gynecomastia is due to parenchymal hypertrophy also require local excision of the parenchyma. Skin excision is rarely, if ever, necessary.
在过去的22年半中，159例男性乳腺增生患者接受了手术治疗。1980年以前，所有患者均采用传统切除术，术后并发症和不良后遗症的发生率很高，其中最主要的是这种美容手术的效果往往不尽人意。自1980年吸脂术成为治疗的基石以来，效果要好得多。因此，目前的治疗建议如下：如果男性乳腺增生完全是由脂肪引起的，仅吸脂术就足以治疗。然而，由于吸脂术无法去除乳腺实质，那些因乳腺实质肥大而导致男性乳腺增生的患者也需要对乳腺实质进行局部切除。很少需要进行皮肤切除，如果需要的话。
