Departments of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Plastic and Reconstructive Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Surg Innov. 2024 Feb;31(1):5-10. doi: 10.1177/15533506231217621. Epub 2023 Nov 23.
Gynecomastia is a benign condition that develops due to the proliferation of breast tissue in men. Surgical excision is the most effective treatment method. Minimally invasive techniques can be used to avoid visible scarring. We evaluated the efficacy and safety of air-assisted subcutaneous mastectomy in the treatment of gynecomastia.
10 patients with gynecomastia underwent air-assisted subcutaneous mastectomy and liposuction through a single axillary incision, between June 2022 and February 2023. Demographic and clinical data of the patients, duration of surgery, and complications were recorded. The satisfaction levels of the patients regarding physical appearance, mental status, and social environment were measured. The body Q questionnaire was performed preoperatively and in the postoperative third month.
The median age was 26 (range, 18-54). Surgical excision was measured as a median of 69 gr (range, 41-177), and liposuction volume was measured as a median of 210 ccs (range, 63-400). The median operation time was 50 minutes (range, 21-60) for excision and 21 minutes (range, 20-75) for liposuction. Body, chest, and nipples related appearance satisfaction levels were measured preoperatively as a median of 44 (range, 36.5-52), 31 (range, 27.5-39), and 51.5 (range, 21-69.8) points vs postoperatively as 92 (range, 92-100), 93 (range, 93-94.8) and 90 (range, 90-100) points, respectively. The patients had a median follow-up of 6 months (range, 3-11). No complications were observed during the follow-up period.
Air-assisted subcutaneous mastectomy and liposuction is a feasible technique that may provide good cosmetic outcomes by avoiding anterior chest wall scarring.
男性乳腺组织增生导致的良性疾病即男性乳房发育症。手术切除是最有效的治疗方法。微创技术可以用来避免明显的疤痕。我们评估了辅助空气皮下乳房切除术治疗男性乳房发育症的效果和安全性。
2022 年 6 月至 2023 年 2 月，我们对 10 例男性乳房发育症患者进行了辅助空气皮下乳房切除术和吸脂术，切口均位于单一腋窝。记录患者的人口统计学和临床数据、手术时间和并发症。测量患者对身体外观、精神状态和社会环境的满意度。术前和术后第 3 个月进行身体 Q 问卷。
患者中位年龄 26 岁（范围，18-54 岁）。手术切除量的中位数为 69 克（范围，41-177 克），吸脂量的中位数为 210 立方厘米（范围，63-400 立方厘米）。切除手术的中位手术时间为 50 分钟（范围，21-60 分钟），吸脂的中位手术时间为 21 分钟（范围，20-75 分钟）。术前患者身体、胸部和乳头相关外观满意度的中位数分别为 44 分（范围，36.5-52 分）、31 分（范围，27.5-39 分）和 51.5 分（范围，21-69.8 分），术后分别为 92 分（范围，92-100 分）、93 分（范围，93-94.8 分）和 90 分（范围，90-100 分）。患者中位随访时间为 6 个月（范围，3-11 个月）。随访期间未观察到任何并发症。
辅助空气皮下乳房切除术和吸脂术是一种可行的技术，通过避免前胸壁疤痕，可能提供良好的美容效果。
