Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction.

Authors:
Rod J Rohrich Richard Y Ha Jeffrey M Kenkel William P Adams

Plast Reconstr Surg 2003 Feb;111(2):909-23; discussion 924-5

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas 75390, USA.

Gynecomastia, or excessive male breast development, has an incidence of 32 to 65 percent in the male population. This condition has important physical and psychological impacts. Advances in elucidating the pathophysiology of gynecomastia have been made, though understanding remains limited. Recommendations for evaluation and workup have varied and are often arbitrary. A diagnostic algorithm is suggested, with emphasis on a comprehensive history, physical examination, and minimizing unnecessary diagnostic testing. Medical management has had limited success; surgical therapy, primarily through excisional techniques, has been the accepted standard. Although effective, excisional techniques subject patients to large, visible scars. Ultrasound-assisted liposuction has recently emerged as a safe and effective method for the treatment of gynecomastia. It is particularly efficient in the removal of the dense, fibrous male breast tissue while offering advantages in minimal external scarring. A new system of classification and graduated treatment is proposed, based on glandular versus fibrous hypertrophy and degree of breast ptosis (skin excess). The authors' series of 61 patients with gynecomastia from 1987 to 2000 at the University of Texas Southwestern Department of Plastic Surgery demonstrated an overall success rate of 86.9 percent using suction-assisted lipectomy (1987 to 1997) and ultrasound-assisted liposuction (1997 to 2000). The authors have found ultrasound-assisted liposuction to be effective in treating most grades of gynecomastia. Excisional techniques are reserved for severe gynecomastia with significant skin excess after attempted ultrasound-assisted liposuction.

Download full-text PDF

 Source
http://dx.doi.org/10.1097/01.PRS.0000042146.40379.25DOI Listing
February 2003

Publication Analysis

Top Keywords

ultrasound-assisted liposuction
20
excisional techniques
12
skin excess
8
male breast
8
gynecomastia
7
ultrasound-assisted
5
liposuction
5
attempted ultrasound-assisted
4
external scarring
4
fibrous male
4
breast tissue
4
tissue offering
4
offering advantages
4
advantages minimal
4
minimal external
4
graduated treatment
4
scarring system
4
system classification
4
classification graduated
4
removal dense
4

Keyword Occurance

Similar Publications

Invited discussion on: ''Safety and Efficacy of Third Generation Ultrasound Assisted Liposuction: A Series of 261 Cases''.

Authors:
Michele L Zocchi Vincenzo Vindigni

Aesthetic Plast Surg 2022 Aug 12. Epub 2022 Aug 12.

Clinic of Plastic Surgery, Department of Neurosciences, University of Padova, Padova, Italy.

View Article and Full-Text PDF
August 2022
Similar Publications

Safety and Efficacy of Third-Generation Ultrasound-Assisted Liposuction: A Series of 261 Cases.

Authors:
Bao Ngoc N Tran Christopher J Didzbalis Tiffany Chen Nikita O Shulzhenko Mokhtar Asaadi

Aesthetic Plast Surg 2022 Jul 27. Epub 2022 Jul 27.

Plastic and Reconstructive Surgery, Cooperman Barnabas Medical Center, Livingston, NJ, USA.

Background: The introduction of third-generation ultrasound-assisted liposuction (3rd UAL) allows for a less invasive modality of both deep and superficial lipectomy while offering improved skin retraction and reduced rate of complications. This study examined the efficacy and safety profile of this technology over 15 years of clinical experience.

Methods: A consecutive series of patients treated from 2005-2020 by the senior author were reviewed for demographic and anthropometric measurements, intraoperative settings, surgical outcomes, and complications via retrospective chart review. Read More

View Article and Full-Text PDF
July 2022
Similar Publications

Quality and Vitality of Autologous Fat Grafts Harvested Via Different Techniques: A Clinical Comparison Study.

Authors:
Hanna Luze Johanna Einsiedler Sebastian Philipp Nischwitz Raimund Winter Dagmar Kolb Lars-Peter Kamolz Petra Kotzbeck Thomas Rappl

Aesthet Surg J 2022 Jul 27. Epub 2022 Jul 27.

Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

Background: The unpredictable outcome in autologous fat grafting due to reabsorption processes is a major challenge for health care providers and patients. A higher number of viable adipocytes is considered relevant for a higher volume retained. While various impairing variables have already been extensively researched, other potential parameters are less investigated or even neglected. Read More

View Article and Full-Text PDF
July 2022
Similar Publications

Correction to: Treatment with Ultrasound-Assisted Liposuction of Accessory Axillary Breast Tissues.

Authors:
Ilteris Murat Emsen

Aesthetic Plast Surg 2022 Jul 18. Epub 2022 Jul 18.

Department of Plastic and Reconstructive Surgery, Numune State Hospital, Erzurum, 25240, Turkey.

View Article and Full-Text PDF
July 2022
Similar Publications

The Effect of Ultrasonic Liposuction Energy Levels on Fat Graft Viability.

Authors:
İbrahim Giray Genç Kemal Fındıkçıoğlu Ali Sadioğlu Ayhan Işık Erdal Süheyla Esra Özkoçer Çiğdem Elmas

Aesthetic Plast Surg 2022 Mar 14. Epub 2022 Mar 14.

Department of Histology and Embryology, Faculty of Medicine, Gazi University, 06500, Ankara, Turkey.

Background: The use of fat obtained from ultrasound-assisted liposuction is popular. However, no study has considered the effect of different energy levels on fat grafts.

Objectives: We hypothesized that different ultrasonic energy levels could change the fat graft viability. Read More

View Article and Full-Text PDF
March 2022
Similar Publications
}