TITLE:
Surgical Treatment of Gynaecomastia: A Prospective Study in 75 Patients
AUTHORS:
Adel M. Tolba, Mohamed Nasr
KEYWORDS:
Gynaecomastia, Male Breast, Surgical Management
JOURNAL NAME:
Surgical Science,
Vol.6 No.11,
November
16,
2015
ABSTRACT: Introduction: Gynaecomastia is a benign
enlargement of male breast; many techniques
have been described for management but none have gained universal acceptance. We
discuss the outcomes of the surgical management of gynaecomastia and assess the
morbidity and complication rates associated with the procedure to determine
whether certain surgical techniques produce better outcomes. Materials and
Methods: 75 patients with gynaecomastia were operated in our hospital during
the period from Jan. 2009 to Jan. 2015. Results: A total of 140 breasts were
operated on during the study period. Patients underwent either liposuction
alone (20 breasts), excision alone (70 breasts), both excision and liposuction (36
breast) or skin reduction procedure (14 breasts). 19 operated breasts (13.4%)
experienced some form of complications. Minor complications included seroma (4
patients), superficial wound dehiscence (3 patients) and two patients developed
haematomas requiring evacuation in theatre. Unsatisfactory cosmotic result
was present in 10 breasts and surgical revision was done in 5 breasts. Simon
grade 111 breasts experienced the highest complication rate. Conclusion: The
study has found that moderate sized gynaecomastia whether true or pseudo gynaecomastia
with mild to moderate breast redundancy can be managed easily and effectively
by liposuction alone or combined with glandular resection while the conventional
infraareolar subcutaneous mastectomy still gives satisfactory results and with
no need to remove extra skin. On the other hand, large gynaecomastia with
severe breast redundancy can be treated effectively by the inferior pedicle
technique without vertical scar.