THERAPEUTICAL NOTES   

Chirurgia 1999 October;12(5):389-92

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Lipectomy for the treatment of gynecomastia. Technical note

Scevola S., Falconi D., Boggio Robutti G.

Background and aim. This study aims to demonstrate the efficacy of lipectomy in the treatment of gynecomastia.
Methods. A retrospective analysis was made of the results obtained using lipectomy during the surgical treatment of gynecomastia. The duration of follow-up was 2 years. Operations were performed between January 1995 and December 1997 at the NHS authorised clinic used by our Postgraduate School. Mean pre-operative hospitalisation was 2 days and patients were discharged 3 days after surgery, following a mean total of 6 days in hospital. Eighteen healthy male patients were studied, with a mean age of 22.7 years, affected by true, mixed and false gynecomastia. A comparison of all three types of surgery: subcutaneous adenectomy alone, lipectomy alone and the association of the two techniques, was used to evaluate the cosmetic results in qualitative terms, both subjectively (patient's judgement) and objectively (surgeon's judgement).
Results. The best cosmetic results were achieved using lipectomy as an isolated technique or in association with adenectomy.
Conclusions. The authors regard the routine use of lipectomy alone or in association with mastectomy as being essential to improve the cosmetic results of the treatment of gynecomastia.