Resumo

BENITO-RUIZ, J.; RAIGOSA, M.; MANZANO, M.  e  SALVADOR, L.. New paradigm for surgical treatment of ginecomastia. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.2, pp.121-127. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000200002.

The development breast in men can cause great emotional stress, particularly in young people and teenagers. There have been described multiple techniques to remove both the adipose and fibroglandular tissues. Recently, the use of an arthroscopic shaver was described for the removal of the glandular tissue by a minimal incision. Sixty patients with ages between 19 and 64 years (mean, 32) have been treated surgically for correction of bilateral gynecomastia: 49 were treated by means of the combination of conventional liposuction and shaver; 7 using removal of the breast by areolar approach and 4 patients underwent mastectomy through axillary approach. In agreement with Rohrich's classification, 15 patients were classified as degree I; 23 as degree II; 19 as degree III and 3 as degree IV. The time of postoperatory followup was 6 to 18 months. Prado´s technique (liposuction plus shaver) allows an effective treatment both for the adipose and glandular tissues with the additional advantage of a minimal scar. This technique is the new paradigm for treatment of gynecomastia.

Palavras-chave : Gynecomastia; Liposuction; Mastectomy; Male breast; Arthroscopic shaver.

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