AI Article Synopsis
- The study investigated the reduction of the nipple-areola-complex (NAC) in men with gynecomastia after subcutaneous mastectomy (SCM), both with and without ultrasound-assisted liposuction (UAL) over 11 years.
- Results showed that the combination of SCM and UAL led to a significantly larger reduction in NAC size compared to SCM alone, with a mean area reduction of 2.60 cm (35.85%) in the SCM+UAL group versus 1.60 cm (23.37%) in the SCM group.
- Despite the differences in NAC reduction, patient satisfaction levels were similar between both surgical approaches, highlighting the importance of considering surgical technique and resection weight in treatment planning.
Article Abstract
Background: The enlarged nipple-areola-complex (NAC) is a characterizing aspect of gynecomastia.
Objective: The purpose of this study was to multidimensionally quantify the reduction of the NAC after a subcutaneous mastectomy (SCM) with or without ultrasound-assisted liposuction (UAL).
Materials And Methods: A retrospective assessment of patients who underwent SCM +/- UAL due to gynecomastia over a period of 11 years was conducted. The NAC diameters were measured before and after surgery. In addition, a survey (including the BREAST-Q) regarding patient-oriented outcome was performed.
Results: The study cohort consisted of 55 men and resulting 105 NACs (SCM n=63, SCM+UAL n=42). It could be shown that the reduction of the NAC considering all parameters (horizontal and vertical diameter and the area) was significantly larger (p=<0.001) in the SCM+UAL compared to the SCM only cohort. The mean reduction of the area in the SCM cohort was 1.60cm (SD 1.48) or 23.37% (SD 9.78) after 5.82 years and in the SCM+UAL cohort 2.60cm (SD 1.60) or 35.85% (SD 6,86) after 7.43 years. As independent significant factors for reduction of the NAC, the resection weight and SCM+UAL combination were identified. There were no significant differences regarding the patients' satisfaction measured with the BODY-Q (p=0.222) and the ordinal scale (p=0.445) between the two cohorts.
Conclusions: The SCM with UAL showed a larger reduction over time of the NAC compared to the SCM independent from the stage of gynecomastia. When planning the surgical treatment of gynecomastia, a technique and resection weight dependent reduction of the NAC over time must be considered.
Level Of Evidence Iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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| http://dx.doi.org/10.1007/s00266-020-02029-x | DOI Listing |
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