Abstract

TRELLES, M.A. et al. Laser assisted liposuction for gynecomastia: statistical and ultrasound follow-up of the effects observed in skin retraction. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.4, pp.425-438. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000400015.

We evaluate efficacy of laser-assisted liposuction in gynecomastia by means of ultrasonography and statistical study, taking into account skin retraction, patients time recovery and satisfaction index with results of surgery. A prospective study on 28 patients suffering from gynecomastia, were treated by means of liposuction assisted by 1470 nm Diode laser lipolysis. Surgery was carried out under sedation and tumescent anesthesia. Laser was programmed at 15 W, 8 a 12 kJ total cumulative energy per breast. Neither skin resection nor drainages were used. Doctors and patients evaluated results objective and subjectively with the same Visual Analogue Scale. For scoring results, pictures took before and 6 months after were used. Measures of chest and areola diameter of before and after surgery were taken for comparative statistical analysis. Ultrasonography follow up was done to determine the width of subcutaneous fat layer eliminated. T Student was use as contrast test to examine results achieved. No complications were observed such ischemia or skin burns. Chest and areolas diameter decrease in dimension were statically significant. Objective and subjective evaluations gave results greater than 90 %. Ultrasonography demonstrated decreasing, statically significant, in subcutaneous fatty tissue (p < 0,05), by comparing images before and 6 months after treatment. Laser-assisted liposuction is an efficacious procedure and reproducible. Ultrasonography controls and the statically study demonstrated good results and limited surgical trauma that imply patients' high satisfaction with the surgery outcome.

Keywords : Liposuction; Lypolisis; Gynecomastia; Diode laser; Ultrasonography.

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