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European Journal of Plastic Surgery

, Volume 41, Issue 2, pp 243–244 | Cite as

A novel technique for correcting the over-corrected gynaecomastia using stacked acellular dermal matrix

  • Ammar Allouni
  • Victoria Fung
  • Stan Kohlhardt
Case Report
  • 46 Downloads

Abstract

The ‘saucer-shaped deformity’ is the undesirable outcome following over-resection of gynaecomastia. Correction can be challenging, lipomodelling may be unfavourable or unpredictable, and autologous grafts often require additional unwanted scars. We present a case of unilateral gynaecomastia over-resection where disks of acellular dermal matrix (ADM) were interwoven in the subdermal, intrapectoral, and interpectoral planes to correct the areolar cavity. A routine review at 17 months showed maintained projection of the areola, and the patient was delighted with the natural contour.

Level of Evidence: Level V, therapeutic study.

Keywords

Gynaecomastia Acellular dermal matrix Chest asymmetry Tethered areola 

Notes

Compliance with ethical standards

Funding

None.

Conflict of interest

Mr. Ammar Allouni, Miss Victoria Fung, and Mr. Stan Kohlhardt declare that they have no conflict of interest.

Patient consent

Patient provided written consent for the use of his images.

Ethical approval

For this kind of study, formal consent from a local ethics committee is not required.

References

  1. 1.
    Rohrich RJ, Ha RY, Kenkel JM, Adams W (2003) Classification and management of gynaecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconst Surg 111:909–923CrossRefPubMedGoogle Scholar
  2. 2.
    Simon BE, Hoffman S, Kahn S (1973) Classification and surgical correction of gynaecomastia. Plast Reconst Surg 51:48–52CrossRefPubMedGoogle Scholar
  3. 3.
    Delay E, Garson S, Tousson G et al (2009) Fat injection to the breast: technique, results, and indications based on 880 procedures over 10 years. Aesthet Surg J 29:360–376CrossRefPubMedGoogle Scholar
  4. 4.
    Park GY, Yoon ES, Chp HE, Lee BI, Park SH (2016) Acellular dermal matrix as a core strut for projection in nipple reconstruction: approaches for three different methods of breast reconstruction. Arch Plast Surg 43(5):424–429CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Plastic Surgery DepartmentRoyal Hallamshire HospitalSheffieldUK
  2. 2.Plastic and Reconstructive SurgeryRoyal Hallamshire HospitalSheffieldUK
  3. 3.Oncoplastic Breast SurgeryRoyal Hallamshire HospitalSheffieldUK

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