| Title | Power-assisted liposuction and the pull-through technique for the treatment of gynecomastia. | | Author(s) | Lista F, Ahmad J | | Institution | Plastic Surgery Clinic, Mississauga, Ontario, Canada. | | Source | Plast Reconstr Surg 2008 Mar; 121(3):740-7. | | MeSH | Adolescent
Adult
Gynecomastia
Humans
Lipectomy
Male
Middle Aged
| | Abstract | BACKGROUND: Gynecomastia is a common condition affecting many adolescent and adult males. Surgical techniques utilizing a variety of incisions, excisions, suction-assisted lipectomy, ultrasound-assisted liposuction, power-assisted liposuction, or some combination of these methods have been used in the treatment of gynecomastia. This article describes the authors' method of using power-assisted liposuction and the pull-through technique to treat gynecomastia.
METHODS: This technique involves the use of power-assisted liposuction to remove fatty breast tissue. The pull-through technique is then performed utilizing several instruments to sever the subdermal attachments of fibroglandular breast tissue; this tissue is removed through the incision used for liposuction. Finally, power-assisted liposuction is performed again to contour the remaining breast tissue. A chart review of 99 consecutive patients (197 breasts) treated between January of 2003 and November of 2006 was performed.
RESULTS: Ninety-six patients (192 breasts) were successfully treated using this technique. Power-assisted liposuction was performed in all cases, and the average volume aspirated per breast was 459 ml (range, 25 to 1400 ml). Using the pull-through technique, the authors were able to remove between 5 and 70 g of tissue per breast. Complications were minimal (1.0 percent of breasts), and no revisions were required.
CONCLUSIONS: Since January of 2003, the authors have used this technique to successfully treat 97 percent of their gynecomastia patients. Combining power-assisted liposuction and the pull-through technique has proven to be a versatile approach for the treatment of gynecomastia and consistently produces a naturally contoured male breast while resulting in a single inconspicuous scar. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18317124 |
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