Department of Plastic and Reconstructive Surgery, Xijing Hospital, Forth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.
Aesthetic Plast Surg. 2024 Nov;48(21):4443-4451. doi: 10.1007/s00266-024-04269-7. Epub 2024 Jul 30.
Gynecomastia is a progressive disease characterized by enlarged breasts, affecting a significant proportion of men. Persistent gynecomastia negatively affects the psychological and emotional development of patients; therefore, surgical intervention is required. In this article, we describe a surgical technique, where liposuction through an axillary incision is used in combination with a single small periareolar incision, to obtain the most minimal scars in the treatment of gynecomastia.
Between June 2021 and June 2023, 125 patients with different Simon grades of gynecomastia were enrolled. The patients' basic conditions and operation processes were recorded. Following surgery, a score was assigned according to the five main aesthetic aspects of the surgical procedure.
In total, 125 patients with gynecomastia were treated with a pre-axillary fold incision combined with a small areolar incision. There were 17 cases of Simon grade I, 46 grade IIA, 42 grade IIB, and 20 grade III. The average operation time was 45.8 min, the average liposuction volume was 250.5 mL, the average glandular tissue volume was 50.5 g, intraoperative blood loss ranged from 15 to 60 mL, and the average hospital stay was 3.2 days. Regarding the postoperative aesthetic effect, doctors scored > 4 points, and the patient satisfaction score was > 7.5, which fully affirmed the aesthetic effect of this method.
Treatment of gynecomastia through an anterior axillary fold incision combined with a small areolar incision is safe and feasible, involving a simple procedure, short operation time, and few complications. Its efficacy and cosmetic effects could lead to its use as a primary surgical method to treat gynecomastia.
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男性乳房发育症是一种进行性疾病，表现为乳房增大，影响了相当一部分男性。持续性男性乳房发育症会对患者的心理和情绪发展产生负面影响，因此需要进行手术干预。本文介绍了一种手术技术，通过腋部切口进行吸脂术，结合单个小乳晕切口，以获得治疗男性乳房发育症的最小疤痕。
2021 年 6 月至 2023 年 6 月，我们纳入了 125 例不同 Simon 分级的男性乳房发育症患者。记录了患者的基本情况和手术过程。手术后，根据手术的五个主要美学方面进行评分。
共 125 例男性乳房发育症患者采用腋前皱襞切口联合小乳晕切口治疗。其中 Simon 分级 I 型 17 例，Ⅱ A 型 46 例，Ⅱ B 型 42 例，Ⅲ型 20 例。手术平均时间为 45.8 分钟，平均吸脂量为 250.5 毫升，平均腺体组织量为 50.5 克，术中出血量 15~60 毫升，平均住院时间 3.2 天。术后美学效果，医生评分>4 分，患者满意度评分>7.5 分，充分肯定了该方法的美学效果。
腋前皱襞切口联合小乳晕切口治疗男性乳房发育症安全可行，手术操作简单，手术时间短，并发症少。其疗效和美容效果可作为治疗男性乳房发育症的主要手术方法。
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