Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?

dc.contributor.authorOzalp, Burhan
dc.contributor.authorBerkoz, Omer
dc.contributor.authorAydinol, Mustafa
dc.date.accessioned2024-04-24T17:07:53Z
dc.date.available2024-04-24T17:07:53Z
dc.date.issued2018
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to assess the efficacy of suction-assisted liposuction (SAL) in Simon grade 2b gynecomastia and its effect on sternal notch to nipple areola (SNN) distance. Methods: A retrospective analysis was performed on 21 patients with grade 2b gynecomastia who underwent SAL. Preoperative and postoperative SNN distances of the patients were measured, the results were analysed using a Mann-Whitney U test and a p-value <.05 was accepted as statistically significant. Aesthetic results were evaluated by the surgical team considering five criteria: breast size, breast shape, nipple-areolar complex positioning, scarring, and skin tightness of the breast envelope. A 10-point Likert scale was used to assess patient satisfaction with SAL surgery. Results: All of the patients were followed up for an average period of 17.8 months (range = 12-28 months). The mean amount of lipoaspirate was 232 mL per breast (range = 190-310 mL). The mean preoperative SNN distance was 22.3 cm (range = 20-23.5 cm), whereas postoperative was 21.3 cm (range = 19.2-22.8 cm); the difference was statistically significant (p < .05). There was one case of nipple areola necrosis, three hypoesthesia, five persistent pains, and four slight buttonhole deformities. The aesthetic result was evaluated as very good by the surgical team, and the overall patient satisfaction rate in terms of breast shape and volume was 92%. Conclusions: It was concluded that SAL provides a good aesthetic outcome in patients with Simon grade 2b gynecomastia and shortens the SNN distance by 1 cm, but further clinical studies are required to support this conclusion.en_US
dc.identifier.doi10.1080/2000656X.2017.1313260
dc.identifier.endpage13en_US
dc.identifier.issn2000-656X
dc.identifier.issn2000-6764
dc.identifier.issue1en_US
dc.identifier.pmid28471290
dc.identifier.scopus2-s2.0-85018301774
dc.identifier.scopusqualityQ2
dc.identifier.startpage7en_US
dc.identifier.urihttps://doi.org/10.1080/2000656X.2017.1313260
dc.identifier.urihttps://hdl.handle.net/11468/17075
dc.identifier.volume52en_US
dc.identifier.wosWOS:000423524100002
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal of Plastic Surgery and Hand Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGynecomastiaen_US
dc.subjectSuction-Assisted Liposuctionen_US
dc.subjectSimon Grade 2b Gynecomastiaen_US
dc.subjectMale Breasten_US
dc.titleIs the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?en_US
dc.titleIs the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?
dc.typeArticleen_US

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