Rosenberg G J
Plast Reconstr Surg. 1987 Sep;80(3):379-86.
Suction lipectomy is adapted for the correction of gynecomastia. Previous attempts using suction lipectomy for gynecomastia still required the use of sharp dissection for removal of the glandular breast tissue as well as excision of redundant skin. With this new technique, gynecomastia is corrected solely with the use of suction lipectomy. The technique is successful if the gynecomastia is due to excess fat or parenchymal hypertrophy. A 7-mm cannula is inserted first, to remove the adipose tissue. Then a 2.4-mm cannula is used to remove the glandular and ductal tissue. The 7-mm cannula is then reinserted to remove subareolar parenchyma and to make final contour adjustments. The surrounding subcutaneous tissue is easily undermined to avoid a saucer deformity and to allow for skin contraction. Patients return to full activities in 48 hours. A compressive garment is worn for 4 to 6 weeks. The results of 10 patients are discussed.
抽脂术适用于男性乳腺增生的矫正。以往尝试使用抽脂术治疗男性乳腺增生仍需使用锐性剥离来切除乳腺组织以及切除多余皮肤。采用这项新技术，仅通过抽脂术即可矫正男性乳腺增生。如果男性乳腺增生是由脂肪过多或实质肥大引起的，该技术就能取得成功。首先插入一根7毫米的套管针以去除脂肪组织。然后使用一根2.4毫米的套管针来去除腺体和导管组织。接着重新插入7毫米的套管针以去除乳晕下实质组织并进行最终的轮廓调整。周围的皮下组织很容易被分离，以避免出现碟形畸形并促进皮肤收缩。患者在48小时后即可恢复正常活动。需穿戴紧身衣4至6周。文中讨论了10例患者的治疗结果。
