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View Full Version : Gyno surgery:Get the gland/not just lipo



DecaDent*
09-24-2002, 10:43 AM
This review looked at cosmetic outcomes of lipo for gyno surgery as an inital treatment. It appears that if lipo alone is done and then a second procedure is needed at a later date to remove the gland that a majority were left with an unacceptable cosmetic outcomes( a dished out appearence or dimpling when gland excision was done after inital lipo) Seems the best inital surgical treatment would be gland removal plus lipo for cosmetic contouring. If your planning gyno surgery,make sure you know exactly which proceedure your surgeon is doing.

A review of 18 cases of gynecomastia where liposuction was performed suggests that insufficient treatment was obtained by suction lipectomy alone as the primary method. When these patients subsequently underwent excisional surgery, removal of the gland resulted in a dished-out< appearance.The patients ranged in age between 24 and 46 years. All were treated for aesthetic complaints. All patients were initially treated by other surgeons, and the method of breast gland suction was unknown. However, eight patients underwent some type of partial glandular resection by scalpel, whereas the others only underwent liposuction.At secondary surgery, all specimens removed demonstrated a sizable amount of mammary gland extending to the limits of dissection. The glands did not exhibit any anatomic alterations resulting from the first surgical procedure. Bodybuilders (n = 9) had no adipose tissue on the excised specimen or any fat under the chest flap. The remaining patients had some adipose tissue present under the chest wall and some fat retained over the excised specimen, although in small amounts.Of the 18 patients treated, four had central mammary depression, and six had lateral depressions resulting from the absence of fatty tissue from the first procedure. All patients had a marked change in the shape of the chest wall, which, before the secondary surgery (performed by the author), had exhibited some abnormality.Performance of liposuction alone for gynecomastia unmasks underlying mammary tissue, which when treated secondarily has a tendency to result in a contour deformity, because of the earlier removal of central or peripheral adipose tissue. Consequently, in situations where the fat contributes to the appearance of gynecomastia, it is important to combine liposuction with glandular excision during the primary operation. In conclusion, I believe certain cases of gynecomastia require glandular excision in conjunction with liposuction, particularly in obese patients.

Aesthetic Surg J 1998 Mar-Apr;18(2):95-98 (ISSN: 1084-0761)
Aiache Adrien E MD

[Copyright Information: Copyright (c)1998 by American Society for Aesthetic Plastic Surgery, Inc.]

buckethead
09-24-2002, 01:59 PM
WTF.. is it saying to take the gland, and shape with lipo... Talked to a friend that is a cosmetic sur.. he said that in the feild that taking the gland without cancer being involved is unethinical... ?????

DecaDent*
09-24-2002, 02:00 PM
Yeah Presser I was just going to PM you this but posted it instead,.....:D Just make sure you ask all the right questions and check out the surgeon really well. The guy who did mine last year was flawless,there isn't even a scar and all the stiches were internal so even right after the surgery it looked great. He had done other bodybuilders and does a lot of female implants and so I had seen his chest-work close up. You want a surgeon who is also part artist.

DecaDent*
09-24-2002, 02:45 PM
Originally posted by buckethead
WTF.. is it saying to take the gland, and shape with lipo... Talked to a friend that is a cosmetic sur.. he said that in the feild that taking the gland without cancer being involved is unethinical... ?????

That's surprising to hear.
What's unethical about getting a cosmeticly desirable outcome from a cosmetic elective surgery? Especially when the patient is a bodybuilder who will suffer a reoccurance,in all likelyhood,if the gland is not removed. Ask you friend what his reasoning is.

This does say take the gland and shape with lipo.

superman1975
09-24-2002, 04:07 PM
PRESSER--what type of recovery treatment are they giving you--when my X had lipo done on her thighs they gave her a compression suit to wear for 6 wks to help the skin stick to the new area--do you have to wear an ace bandage or anything to help things heal together correctly???