Abstract
Surgery for the correction of gynecomastia is relatively common. It is currently listed as the third most common surgical procedure in men, with over 20,000 cases reported by board certified plastic surgeons in the latest procedural statistics of the American Society of Plastic Surgeons. There is still significant controversy in the literature regarding the incidence of the condition. A prevalence of 32–65% has been reported in adult males and in adolescents the reported range is 4–69%. A number of treatment options have been suggested for cases in which skin resection is not required. The most common approach to these cases involves some technique of liposuction combined with some technique of gland resection. Lately the pull-through technique has become a popular method for addressing the glandular tissue. The adipose tissue is currently addressed by any of the following: traditional liposuction (SAL), power-assisted liposuction (PAL), ultrasound-assisted liposuction (UAL), or VASER-assisted liposuction (VAL).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Glass AR. Gynecomastia. Endocrinol Metab Clin N Am. 1994;23:825–37.
Brownstein GD. Clinical practice. Gynecomastia. N Engl J Med. 2007;328:1229–37.
Neuman JF. Evaluation and treatment of gynecomastia. Am Fam Physician. 1997;55:1835–44.
Niewoehner CB, Nuttal FQ. Gynecomastia in a hospitalized male population. Am J Med. 1984;77:633–8.
Carlson HE. Gynecomastia. N Engl J Med. 1980;303:795–9.
Lee PA. The relationship of concentration of serum hormones to pubertal gynecomastia. J Pediatr. 1975;86:212–5.
Harlan WR, Grillo GP, Cornoni-Huntley J, et al. Secondary sex characteristics in boys 12–17 years of age: the US health examination survey. J Pediatr. 1979;95:293–7.
The American Society for Aesthetic Plastic Surgery. Cosmetic Surgery National Data Bank, Procedural Statistics; 2017.
The American Society of Plastic Surgeons Statistics Report: ASPS National Clearinghouse of Plastic Surgery Procedural Statistics; 2017.
Rosenberg GJ. A new cannula for suction removal of parenchymal tissue of gynecomastia. Plast Reconstr Surg. 1994;94(3):548–51.
Morselli PG. “Pull through”: a new technique for breast reduction in gynecomastia. Plast Reconstr Surg. 1996;97:450–4.
Bracaglia R, Fortunato R, Gentileschi S, et al. Our experience with the so- called pull-through technique for the management of gynecomastia. Ann Plast Surg. 2004;53:22–6.
Hammond DC, Arnold JF, Simon AM, et al. Combined use of ultrasonic liposuction with the pull-through technique for the treatment of gynecomastia. Plast Reconstr Surg. 2003;112:891–5.
Ramon Y, Fodor L, Peled IJ, et al. Multimodality gynecomastia repair by cross-chest power-assisted superficial liposuction combined with endoscopic-assisted pull-through excision. Ann Plast Surg. 2005;55:591–4.
Lista F, Ahmad J. Power-assisted liposuction and the pull-through technique for the treatment of gynecomastia. Plast Reconstr Surg. 2008;121:740–7.
Malhotra AK, Amed S, Bucevska M, et al. Do adolescents with gynecomastia require routine evaluation by endocrinology? Plast Reconstr Surg. 2018;142:9e–16e.
Rohrich RJ, Ha RY, Kenkel JM, et al. Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg. 2003;111:909–23.
Niewoehner CB, Schorer AE. Gynaecomatia and breast cancer in men. BMJ. 2008;336:709–13.
Evans GFF, Anthony T, Applebaum AH, et al. The diagnostic accuracy of mammography in the evaluation of male breast disease. Am J Surg. 2001;181:96–100.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Garcia, O. (2020). VASER-Assisted Liposuction of Gynecomastia. In: Garcia Jr., O. (eds) Ultrasound-Assisted Liposuction. Springer, Cham. https://doi.org/10.1007/978-3-030-26875-6_7
Download citation
DOI: https://doi.org/10.1007/978-3-030-26875-6_7
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-26874-9
Online ISBN: 978-3-030-26875-6
eBook Packages: MedicineMedicine (R0)