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The Effect of Suction-Assisted Liposuction on Reduction of Diameter of Nipple-Areola Complex Among Patients with Simon Grade IIb and III Gynecomastia

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Abstract

Gynecomastia is a condition in which the gland and fat tissue enlarge in the breasts of men. High-grade gynecomastia (Simon grades IIb and III) is associated with an enlarged nipple-areola complex. In this study, 21 patients with grade IIb and 9 patients with grade III who underwent suction-assisted liposuction between September 2018 and January 2020 were included. The historical patient records including physical examination, Simon grade of gynecomastia, horizontal diameter of nipple-areola complex, age, and pre-operative–post-operative photos were analyzed. The median of the horizontal diameter of nipple-areola complex was 3.7 cm in the pre-operative measurement, and the post-operative horizontal diameters varied from 2.6 to 3.1 cm, 3 months after surgery. The pre-operative and post-operative horizontal diameters of nipple-areola complex were compared using the Mann–Whitney test which revealed that the diameters significantly decreased after the operation. It can be concluded that suction-assisted liposuction provides a sufficient reduction concerning the diameter of nipple-areola complex without scar formation.

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References

  1. Vandeven HA, Pensler JM (2020) Gynecomastia. In: StatPearls. StatPearls Publishing, Treasure Island (FL)

  2. Fagerlund A, Lewin R, Rufolo G, Elander A, Santanelli di Pompeo F, Selvaggi G (2015) Gynecomastia: a systematic review. J Plast Surg Hand Surg 49(6):311–318. https://doi.org/10.3109/2000656X.2015.1053398

    Article  PubMed  Google Scholar 

  3. Sarkar A, Bain J, Bhattacharya D, Sawarappa R, Munian K, Dutt G et al (2014) Role of combined circumareolar skin excision and liposuction in management of high grade gynaecomastia. J Cutan Aesthet Surg 7(2):112–116. https://doi.org/10.4103/0974-2077.138354

    Article  PubMed  PubMed Central  Google Scholar 

  4. Rohrich RJ, Ha RY, Kenkel JM, Adams WP (2003) Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg 111(2):909–925. https://doi.org/10.1097/01.prs.0000042146.40379.25

    Article  PubMed  Google Scholar 

  5. Brown RH, Chang DK, Siy R, Friedman J (2015) Trends in the surgical correction of gynecomastia. Semin Plastic Surg 29:122–130

    Article  Google Scholar 

  6. Webster JP (1946) Mastectomy for gynecomastia through a semicircular intra-areolar incision. Ann Surg 124(3):557

    Article  Google Scholar 

  7. Taheri AR, Farahvash MR, Fathi HR, Ghanbarzadeh K, Faridniya B (2016) The satisfaction rate among patients and surgeons after periareolar surgical approach to gynecomastia along with liposuction. World J Plastic Surg 5(3):287

    Google Scholar 

  8. Schroeder L, Rudlowski C, Walgenbach-Bruenagel G, Leutner C, Kuhn W, Walgenbach KJ (2015) 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 10(3):184–188. https://doi.org/10.1159/000381152

    Article  Google Scholar 

  9. El-Sabbagh AH (2016) Combined approach for gynecomastia. GMS Interdiscipl Plastic Reconstruct Surg DGPW 5. https://doi.org/10.3205/iprs000089

  10. Scuderi N, Dessy LA, Tempesta M, Bistoni G, Mazzocchi M (2010) Combined use of power-assisted liposuction and trans-areolar incision for gynaecomastia treatment. J Plastic Reconstruct Aesthet Surg 63(1):93–95. https://doi.org/10.1016/j.bjps.2009.01.025

    Article  Google Scholar 

  11. Hammond DC, Arnold JF, Simon AM, Capraro PA (2003) Combined use of ultrasonic liposuction with the pull-through technique for the treatment of gynecomastia. Plast Reconstr Surg 112(3):891–895. https://doi.org/10.1097/01.PRS.0000072254.75067.F7

    Article  PubMed  Google Scholar 

  12. Tanini S, Russo GL (2018) Shape, position and dimension of the nipple areola complex in the ideal male chest: a quick and simple operating room technique. Aesthet Plast Surg 42(4):951–957. https://doi.org/10.1007/s00266-018-1131-0

    Article  Google Scholar 

  13. Godwin Y (2012) Gynaecomastia: considerations and challenges in treating male patients with varying body habitus. Europ J Plastic Surg 35(1):55–64. https://doi.org/10.1007/s00238-011-0582-1

    Article  Google Scholar 

  14. Keskin M, Sutcu M, Hanci M, Cigsar B (2017) Reduction of the areolar diameter after ultrasound-assisted liposuction for gynecomastia. Ann Plast Surg 79(2):135–138. https://doi.org/10.1097/SAP.0000000000000994

    Article  PubMed  CAS  Google Scholar 

  15. Kasai S, Shimizu Y, Nagasao T, Ohnishi F, Minabe T, Momosawa A et al (2015) An anatomic study of nipple position and areola size in Asian men. Aesthet Surg J 35(2):20–27. https://doi.org/10.1093/asj/sju023

    Article  Google Scholar 

  16. Shulman O, Badani E, Wolf Y, Hauben DJ (2001) Appropriate location of the nipple-areola complex in males. Plast Reconstr Surg 108(2):348–351

    Article  CAS  Google Scholar 

  17. Yue D, Cooper LR, Kerstein R, Charman SC, Kang NV (2018) Defining normal parameters for the male nipple-areola complex: a prospective observational study and recommendations for placement on the chest wall. Aesthet Surg J 38(7):742–748. https://doi.org/10.1093/asj/sjx245

    Article  PubMed  Google Scholar 

  18. Pfeiler PP, Luketina R, Dastagir K, Vogt PM, Mett TR, Kaltenborn A et al (2021) Expected reduction of the nipple-areolar complex over time after treatment of gynecomastia with ultrasound-assisted liposuction mastectomy compared to subcutaneous mastectomy alone. Aesthet Plast Surg 45(2):431–437. https://doi.org/10.1007/s00266-020-02029-x

    Article  Google Scholar 

  19. Singamsetty R, Rout SK, Giri SK, Panda R, Behera KK, Sable, MN (2021) Aesthetic outcome of gynecomastia management with conventional liposuction and cross-chest liposuction: a prospective comparative study.Aesthet Plastic Surg 1-8. https://doi.org/10.1007/s00266-021-02611-x

  20. Esme DL, Beekman WH, Hage JJ, Nipshagen MD (2007) Combined use of ultrasonic-assisted liposuction and semicircular periareolar incision for the treatment of gynecomastia. Ann Plast Surg 59(6):629–634. https://doi.org/10.1097/SAP.0b013e318038f762

    Article  PubMed  CAS  Google Scholar 

  21. Prasetyono TOH, Budhipramono AG, Andromeda, I (2021) Liposuction assisted gynecomastia surgery with minimal periareolar incision: a systematic review. Aesthetic Plastic Surgery 1-9. https://doi.org/10.1007/s00266-021-02520-z

  22. Sim N, Tan G, Tan BK, Goh T (2020) Review of the microdebrider excision and liposuction technique (MELT) for the treatment of gynecomastia. J Plast Reconstr Aesthet Surg 73(2):303–312. https://doi.org/10.1016/j.bjps.2019.09.003

    Article  PubMed  CAS  Google Scholar 

  23. Özalp B, Berköz Ö, Aydınol M (2018) Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction. J Plast Surg Hand Surg 52(1):7–13. https://doi.org/10.1080/2000656X.2017.1313260

    Article  PubMed  Google Scholar 

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Acknowledgements

The author would like to thank Prof. Dr. S. Kapur for improving the English text.

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SAS carried out the conceptualization and design of the study as well as the original drafting and editing of the manuscript. SAS carried out the data curation, formal analysis, and supervision. The author reviewed the manuscript carefully.

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Correspondence to Seckin Aydin Savas.

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Savas, S.A. The Effect of Suction-Assisted Liposuction on Reduction of Diameter of Nipple-Areola Complex Among Patients with Simon Grade IIb and III Gynecomastia. Indian J Surg 84, 996–1000 (2022). https://doi.org/10.1007/s12262-021-03276-1

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