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Surgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction

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dc.contributor.author김대화-
dc.contributor.author나동균-
dc.contributor.author변일환-
dc.contributor.author이동원-
dc.contributor.author이원재-
dc.date.accessioned2017-10-26T08:09:05Z-
dc.date.available2017-10-26T08:09:05Z-
dc.date.issued2016-
dc.identifier.issn0364-216X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/153033-
dc.description.abstractBACKGROUND: The treatment of gynecomastia depends on multiple factors, and the best modality is controversial. In this study, we aimed to determine the best management approach by comparing outcomes of two groups of patients with gynecomastia who received subcutaneous mastectomy combined with liposuction and liposuction only. METHODS: We conducted a retrospective analysis of 64 patients who underwent surgery for gynecomastia. We divided the patients into two groups: group A, patients who underwent liposuction only; and group B, patients who underwent liposuction and subcutaneous mastectomy. The serial photographs of all patients were clinically evaluated with respect to size, shape, scarring, and overall outcome by three plastic surgeons, and patient satisfaction was surveyed with regard to palpable lumps, size, shape, scarring, and overall outcome. RESULTS: Of the 64 subjects, 16 received liposuction only, and 48 received the combination procedure. A total of 125 breasts were involved. The doctors' scores for size and overall outcome were significantly better in the combination group, whereas scarring was better in the liposuction-only group. Similarly, patient satisfaction regarding size was significantly higher in the combination group, and satisfaction regarding scarring was significantly higher in the liposuction-only group. The scores for scarring in the combination treatment group were acceptable. CONCLUSION: Our study shows that combination treatment with liposuction and subcutaneous mastectomy results in satisfactory outcomes, including the extent of scarring. We conclude that this combination treatment should be recommended as the standard surgical treatment for gynecomastia and can provide excellent results in cases where glandular tissue needs to be removed. LEVEL OF EVIDENCE V: 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 .-
dc.description.statementOfResponsibilityrestriction-
dc.publisherSpringer-Verlag-
dc.relation.isPartOfAESTHETIC PLASTIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleSurgical Management of Gynecomastia: Subcutaneous Mastectomy and Liposuction-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Plastic Surgery & Reconstructive Surgery-
dc.contributor.googleauthorDae Hwa Kim-
dc.contributor.googleauthorIl Hwan Byun-
dc.contributor.googleauthorWon Jai Lee-
dc.contributor.googleauthorDong Kyun Rah-
dc.contributor.googleauthorJi Ye Kim-
dc.contributor.googleauthorDong Won Lee-
dc.identifier.doi10.1007/s00266-016-0705-y-
dc.contributor.localIdA01229-
dc.contributor.localIdA04954-
dc.contributor.localIdA02729-
dc.contributor.localIdA03005-
dc.contributor.localIdA04889-
dc.relation.journalcodeJ00050-
dc.identifier.eissn1432-5241-
dc.identifier.pmid27679453-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00266-016-0705-y-
dc.contributor.alternativeNameKim, Dae Hwa-
dc.contributor.alternativeNameRah, Dong Kyun-
dc.contributor.alternativeNameByun, Il Hwan-
dc.contributor.alternativeNameLee, Dong Won-
dc.contributor.alternativeNameLee, Won Jai-
dc.contributor.affiliatedAuthorRah, Dong Kyun-
dc.contributor.affiliatedAuthorByun, Il Hwan-
dc.contributor.affiliatedAuthorLee, Dong Won-
dc.contributor.affiliatedAuthorLee, Won Jai-
dc.contributor.affiliatedAuthorKim, Dae Hwa-
dc.citation.volume40-
dc.citation.number6-
dc.citation.startPage877-
dc.citation.endPage884-
dc.identifier.bibliographicCitationAESTHETIC PLASTIC SURGERY, Vol.40(6) : 877-884, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid41038-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

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