Evaluation of the Aesthetic Outcome of Glandular Liposculpture Using V - Dissector Liposuction Cannula for Grades I and II Gynecomastia Combined with the Sealing Effect of Autologous Platelet Gel | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 2, Volume 48, Issue 2, April 2024, Pages 79-90 PDF (1000.86 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2024.352129 | ||
| Authors | ||
| Ahmed Elhussein Mohamed* 1; Mahmoud Mohamed Shaker Elsayed* 1; Asmaa K. K. Abdelmaogood2 | ||
| 1The Department of Plastic Surgery, Faculty of Medicine, Suez Canal University | ||
| 2The Department of Clinical & Chemical Pathology, Faculty of Medicine, Suez Canal University | ||
| Abstract | ||
| Background: Gynecomastia is defined as an abnormal growth of male breast tissue that is considered the most frequent male cosmetic problem, accounting for roughly 60% of the total male breast problems and 85% of male breast masses. Several traditional treatments, including liposuction, subcutaneous mastectomy, and a combination of both, have been documented. This approach inevitably results in a scar on the anterior chest wall; liposuction alone can result in minimal scarring but has a minimal effect on the tough glandular and fibroconnective tissues. Objective: Evaluation of the aesthetic outcome of glandular liposculpture using V-dissector liposuction cannula for grades I and II gynecomastia combined with the sealing effect of autologous platelet gel. Methods: This was an uncontrolled clinical study, including 25 patients [50 breasts] ageing between 18 and 45 years with idiopathic benign gynecomastia who requested surgical intervention for their gynecomastia. liposuction and liposculpturing with V-dissector liposuction cannula without glandular tissue excision, followed by platelet gel spraying on the cavity. The procedure was completed, and the overall complication rate was recorded, mainly hematoma and seroma. Conclusion: Glandular liposculpture using V-dissector liposuction cannula for grades I and II gynecomastia combined with sealing autologous platelet gel was effective and safe, and both patients and observers were adequately satisfied with an acceptable outcome rating. | ||
| Keywords | ||
| Key Words: V- dissector; Liposculpture; Gynecomastia | ||
| References | ||
|
1- Ratnam B.V.: A new classification and treatment protocol for gynecomastia. Aesthetic Surg J., 29: 26e31, 2009. 2- Hosnuter M.: An ameliorated approach for sharp resection in gynecomastia surgery. Indian J. Surg., 76: 419e424, 2014. 3- Hammond D.C.: Surgical correction of gynecomastia. Plastic Reconstructive Surg., 124 (1 Suppl): 61e–68e. doi: 10.1097/PRS.0b013e3181aa2dc7, 2009. 4- Anderson R.C., Cunningham B., Tafesse E. and Lenderking W.R.: Validation of the breast evaluation questionnaire for use with breast surgery patients. Plastic Reconstructive Surg., 118 (3): 597-602, 2006. 5- Ridha H., Colville R.J. and Vesely M.J.: How happy are patients with their gynaecomastia reduction surgery? J. Plastic Reconstructive Aesthetic Surg., 62 (11): 1473- 1478, 2009. 6- Abdelrahman I., Steinvall I., Mossaad B., Sjoberg F. and Elmasry M.: Evaluation of Glandular Liposculpture as a Single Treatment for Grades I and II Gynaecomastia. Aesthetic Plastic Surg., Oct. 42 (5): 1222-1230. doi: 10.1007/s00266-018-1118-x. Epub 2018 Mar 16. PMID: 29549405; PMCID: PMC6153645, 2018. 7- Rohrich R., Ha R., Kenkel J., et al.: Classifications and management of gynecomastia: Defining the role of ultrasound- assisted liposuction. Plastic Reconstructive Surg., 111: 909e23, 2003. 8- Simon B.E., Hoffman S. and Kahn S.: Classification and surgical correction of gynecomastia. Plastic Reconstructive Surg., 51: 48-52, 1973. 9- Iwuagwu O. and Drew P.: Minimal invasive surgery for gynecomastia: A novel approach. Can. J. Plastic Surg., 12: 145e146, 2004. 10- Benito-Ruiz J., Raigosa M., Manzano M. and Salvador L.: Assessment of a suction assisted cartilage shaver plus liposuction for the treatment of gynecomastia. Aesthetic Surg. J., 29: 302e309, 2009. 11- Teimourian B. and Perlman R.: Surgery for gynecomastia. Aesthetic Plastic Surg., 7 (3): 155-157, 1983. 12- Rosenberg G.J.: Gynecomastia: suction lipectomy as a contemporary solution. Plastic Reconstructive Surg., 80 (3): 379-386, 1987. 13- Rosenberg G.J.: A new cannula for suction removal of parenchymal tissue of gynecomastia. Plastic Reconstructive Surg., 94 (3): 548-551, 1994. 14- Samdal F., Kleppe G. and Aabyholm F.: A new suction-assisted device for removing glandular gynecomastia. Plastic Reconstructive Surg., 87 (2): 383-385, 1991. 15- Luckey R.C.: Modified technique for correction of gynecomastia. Plastic Reconstructive Surg., 89 (4): 767, 1992. 16- Melmed E.P.: Autologous platelet gel in plastic surgery. Aesthetic Surg. J., Jul. 21 (4): 377-9. doi: 10.1067/ maj.2001.118027. PMID: 19331920, 2001. 17- Czinn E.A. and Chediak J.R.: Coagulation and hemostasis. In: Salem M.R., ed. Blood Conservation in the Surgical Patient. Baltimore; Williams & Wilkins, 45-51, 1996. 18- Cromack D.T., Porras-Reyes B. and Mustoe T.A.: Current concepts in wound healing: growth factor and macrophage interaction. J. Trauma, 30 (129 Suppl): S129-S133, 1990. Vol. 48, No. 2 / Evaluation of the Aesthetic Outcome of Glandular Liposculpture f 90 or Gynecomastia 19- Pierce G.F., Cande Berg J., Rudolph R., et al.: Platelet derived growth factor -BB and transforming growth factor beta-1 selectivity modulated glycosaminoglycans, collagen and myofibroblasts in excisional wound healing. Am. J. Pathology, 38: 629-632, 1991. 20- Hom D.B. and Maisel R.H.: Angiogenic growth factors: their effects and potential in soft tissue wound healing. Ann. Oto. Rhinology, 101: 349-354, 1992. 21- Knighton D.R., Hunt T.K., Thakral K.K. and Goodson W.H.: The role of platelets and fibrin in healing sequence: An in vivo study of angiogenesis and collagen synthesis. Ann. Surg., 196: 379-388, 1982. 22- Green D.M.: Platelet gel as an intraoperatively procured platelet-based alternative to fibrin glue. Plastic Reconstructive Surg., 101: 1161-1162, 1998. 23- Singamsetty R., Rout S.K., Giri S.K., Panda R., Behera K.K. and Sable M.N.: Aesthetic Outcome of Gynecomastia Management with Conventional Liposuction and Cross-Chest Liposuction: A Prospective Comparative Study. Aesthetic Plastic Surg., Jun. 46 (3): 1063-1070. doi: 10.1007/s00266-021-02611-x. Epub 2021 Oct 12. PMID: 34636927; PMCID: PMC8507502, 2022. 24- Abou Ashour H.: Liposuction excision of gynecomastia through an axillary liposuction opening: A novel technique. Egypt J. Surg., 34 (3): 170-176, 2015. 25- Schroder L., Rudlowski C., Walgenbach-Brunagel G., Leutner C., Kuhn W. and Walgenbach K.J.: Surgical strategies in the treatment of gynecomastia grade I–II: The combination of liposuction and subcutaneous mastectomy provides excellent patient outcome and satisfaction. Breast Care (Basel), 10 (3): 184-188, 2015. 26- Innocenti A., Melita D. and Ghezzi S.: Closed-suction drains after subcutaneous mastectomy for gynecomastia: Do they reduce complications? Aesthetic Plastic Surgery, No. 5, p. 2118-2126, 2021. 27- El-Sabbagh A.H.: Combined approach for gynecomastia. GMS Interdiscip Plast Reconstr Surg DGPW, 5: Doc. 10, 2016. | ||
|
Statistics Article View: 145 PDF Download: 260 |
||
