Optimization of surgical management of gynaecomastia: Our experience

Jitendra Mehta, Manish Zade, Dhananjay Nakade, Shitiz Gupta, C.V Akhila

Abstract


Introduction: Gynaecomastia is the most common benign condition of male breast. It is characterized by hyperplasia of ductal tissue, stroma and fat cells. Commonly it occurs at infancy, adolescence and old age during the time of hormonal changes. Rarely it is associated with testicular tumours, liver diseases and medications.
Aims: To study the outcome of different surgical procedures for gynaecomastia selected based on the predominant tissue content of breast.
Materials and Methods: This prospective observational study included 20 patients with gynaecomatia. Depending on the breast tissue content patients underwent only liposuction, Liposuction with breast gland excision or only excision of breast tissue. Postoperatively patients were observed for complications and assessed for satisfaction during followup.
Results: Mean followup was 6 months. 1 8 patients out of 20 were satisfied with the outcome. One patient who underwent gland excision only developed saucer deformity and needed liposuction later on. Transient numbness over chest was commonest complication occurred in 3 patients with liposuction and breast gland excision which improved spontaneously. None of the patients developed necrosis of nipple areola complex.
Conclusion: Surgical procedure for correction of gynaecomastia should be tailored according to type of breast. Liposuction with excision of breast gland through subareolar incision is an effective treatment modality in patients with soft to moderately firm breasts.

Keywords: Gynaecomastia, Male breast, Liposuction.


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