Power-Assisted Liposuction and Periareolar Pull-Out Technique for the Treatment of Gynecomastia.

Yang,  Hae Won; Kang,  Min Gu; Yoon,  Sang Yub; Seo,  Sang Won; Chang,  Choong Hyun

Original Article

Journal of the Korean Society for Aesthetic Plastic Surgery 2009;15(2):158-160.
Published online June 1, 2009.

Power-Assisted Liposuction and Periareolar Pull-Out Technique for the Treatment of Gynecomastia.

Hae Won Yang, Min Gu Kang, Sang Yub Yoon, Sang Won Seo, Choong Hyun Chang

¹Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
²Silhouette Clinic CBBC(Center for Breast and Body Contouring), Seoul, Korea. kmgu@paran.com

Abstract

Gynecomastia is an abnormal increase in the volume of the male breast. Surgical techniques include a variety of incisions, excisions, suction-assisted lipopectomy, ultrasound-assisted liposuction, power-assisted liposuction, or some combination of these methods. The purpose of this article is to introduce the authors' method of using power-assisted liposuction and periareolar pull-out technique. Six men were treated from June 2005 through August 2008 for gynecomastia. Fatty breast tissue is removed by power-assisted liposuction. The periareolar pull-out technique is then performed to glandular enlargement. A mean of 120cc of breast tissue was aspirated, and 18.3g of glandular tissue were excised per breast. There were no complications such as skin flap necrosis or hematoma. The cosmetic outcome was good in all and the patients' satisfaction was high. Power-assisted liposuction in combination with periareolar pull-out technique effectively corrects gynecomatia. This combination has little morbidity, minimize scars, and leads to good cosmetic results.

Key Words: Liposuction, Gynecomastia