Abdali Hossein, Rasti Mehdi, Adib Parsa Mehrdad, Seyedipour Sina, Tavakoli-Fard Negah
Department of Plastic Surgery, Isfahan University of Medical Sciences, Medical Education Research Center, Isfahan, Iran.
Department of General Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2023 Apr 25;12:93. doi: 10.4103/abr.abr_374_21. eCollection 2023.
Gynecomastia (GM) is the increased fibroglandular tissue in the male breast by more than 2 cm, which is palpated under the nipple and areola. An ideal surgical approach aims to reduce the breast size, reach an acceptable breast shape, resect excessive glandular tissue, fatty tissue, and skin fatty tissue and excess skin, relocate the nipple-areolar complex, and avoid scars. Based on its importance, we aimed to compare outcomes of liposuction with and without periareolar incision in patients with GM.
This was a randomized clinical trial on patients referred for plastic surgery. Patients with GM were allocated into two treatment groups. Group A underwent liposuction without any areolar skin incision and group B had liposuction with the areolar skin incision. Patients were followed-up after surgery. Data were analyzed by Statistical Package for the Social Sciences (SPSS) version 20.
Sixty patients aged between 20 and 27 years old participated in this study. Three hematomas, two surgical site infections, one nipple hypopigmentation after surgery, and one seroma formation were noted in group B. On the other hand, one hematoma and one seroma formation were noted in group A. The patients in group A were highly satisfied after the liposuction without skin incision procedure compared with group B ( = 0.01).
The management of GM by liposuction, either with the periareolar excision technique or without skin incision, allows the effective removal of fat and glandular tissue of the male breast. Although there was no significant difference regarding postoperation complications between groups, patients' satisfaction should be considered.
男性乳房肥大（GM）是指男性乳房内纤维腺组织增生超过2厘米，可在乳头和乳晕下触及。理想的手术方法旨在减小乳房大小，达到可接受的乳房形状，切除过多的腺体组织、脂肪组织以及皮肤脂肪组织和多余皮肤，重新定位乳头乳晕复合体，并避免留下疤痕。基于其重要性，我们旨在比较采用乳晕周围切口和不采用乳晕周围切口的抽脂术治疗GM患者的效果。
这是一项针对整形外科转诊患者的随机临床试验。GM患者被分为两个治疗组。A组在不做任何乳晕皮肤切口的情况下进行抽脂术，B组在乳晕皮肤切口的情况下进行抽脂术。术后对患者进行随访。数据采用社会科学统计软件包（SPSS）20版进行分析。
60名年龄在20至27岁之间的患者参与了本研究。B组记录到3例血肿、2例手术部位感染、1例术后乳头色素减退和1例血清肿形成。另一方面，A组记录到1例血肿和1例血清肿形成。与B组相比，A组患者在无皮肤切口抽脂术后的满意度更高（P = 0.01）。
采用乳晕周围切除技术或不做皮肤切口的抽脂术治疗GM，都能有效去除男性乳房的脂肪和腺体组织。尽管两组术后并发症无显著差异，但应考虑患者的满意度。
