Original Article

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Open Access

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Published: 01 Jan 2020

ISSN: 2958-6194 (Print) ; 2958-6208 (Online)

BSAPS Journal, Volume 1, Issue 1, January 2020

Surgical Management of Gynecomastia : Liposuction and Subcutaneous Mastectomy
Waheduzzaman S1

1. Lt ColDr Syed Waheduzzaman MBBS FCPS (Surgery), MS (Plastic Surgery), Classified Specialist in Surgery and Plastic Surgeon, Combined Military Hospital, Dhaka, email : wahidplastic@gmail.com

Lt ColDr Syed Waheduzzaman MBBS FCPS (Surgery), MS (Plastic Surgery), Classified Specialist in Surgery and Plastic Surgeon, Combined Military Hospital, Dhaka, email : wahidplastic@gmail.com

Abstract: 

Background: There are multiple options for surgical treatment of gynecomastia including liposuction, subcutaneous mastectomy and combination of both. In this study we observed the outcome of the options of surgical treatment of Simons Grade I and Grade IIA gynecomastia.

Methods: This is an observational study of 26 patients who underwent surgery for gynecomastia. Surgical management was planned according to grading of gynecomastia, amount of fatty tissue and glandular tissue present in the enlarged breast. Outcome was assessed and patient satisfaction was surveyed with regards to palpable lump, size, shape, scaring and overall outcome.

Results: Out of 26 patients 25 had bilateral gynecomastia, 1 had unilateral gynecomastia. So, total 51 breasts were operated. Of them 23 breast were Grade I, 28breast were Grade IIA. 21 breasts were treated with liposuction only, 30 were treated with combination of liposuction and subcutaneous mastectomy. More satisfactory results were observed in combination group with liposuction and subcutaneous mastectomy.

Conclusion: Our study shows that combination treatment with liposuction and subcutaneous mastectomy results in satisfactory outcome.

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Surgical Management of Gynecomastia : Liposuction and Subcutaneous Mastectomy