A single stage liposuction and dermopexy for grade 3b and grade 4 pseudogynecomastia after massive weight loss: An observational study

• Published in: International journal of surgery (London, England) Vol. 5; no. 3; pp. 155 - 161
• Main Author: El-Khatib, Hamdy A
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.06.2007
• Subjects: Adult; Dermatologic Surgical Procedures; Gynecomastia - etiology; Gynecomastia - surgery; Humans; Hypertrophy - surgery; Lipectomy; Male; Mammaplasty - methods; Massive loss of weight; Middle Aged; Pseudogynecomastia liposuction skin reduction; Surgery; Weight Loss; Massive loss of weight; Pseudogynecomastia liposuction skin reduction
• ISSN: 1743-9191; 1743-9159
• DOI: 10.1016/j.ijsu.2006.06.021

Abstract Nineteen middle-aged males with grade 3b and grade 4 pseudogynecomastia following severe weight loss were treated by liposuction and simultaneous skin reduction. From 1997 through 2005 nine males with grade 3 and ten with grade 4 pseudogynecomastia were included in this study. Ages ranged from 23 to 48 years. Author used two techniques for skin reduction: 1-the dermal mastopexy (keyhole design) for grade 4, and 2-the complete circum-areolar technique (concentric reduction) with de-epithelialization for grade 3b. The current technique offers a proper treatment for the pendulous female-like breast with inelastic and redundant skin. It obviates the need for secondary revision by providing a viable nipple-areola complex at the desired location and eliminating the dish-type deformity that may result from subcutaneous mastectomy. Patients were monitored for the following 18 to 39 months. While reviewing the literature other methods are compared and discussed but it is suggested that the method reported here has a number of advantages and is the treatment of choice in many such cases.