COMBINED USE OF LASER ASSISTED LIPOLYSIS AND SEMICIRCULAR PERIAREOLAR INCISION FOR GYNECOMASTIA TREATMENT
Goals/Purpose: The aim of the study was to evaluate the effect of the combined method of laser assisted liposuction (LAL) and semicircular periareolar incision glandular tissue resection at the treatment of gynecomastia.
Methods/Technique: Between January 2011 and May 2012 the charts of 12 patient (24 breasts) underwent thorough investigations to exclude any underlying cause for their gynecomastia. Patients diagnosed with idiopathic benign gynaecomastia treated with LAL and semicircular periareolar incision glandular tissue resection were retrospectively reviewed. Twelve patients, aging 17-55, according to Simon's grading, 2 patients had grade 1, 3 had grade 2a, 4 had grade 2b, and 3 had grade 3 gynecomastia.
LAL was performed with a 980 nm diode laser after tumescent anesthetic infiltration at a power of 15W with continuous emission, and 8-12 kJ total average energy per breast. Then glandular tissue resection was made through a periareolar semicircular incision. The amount of breast parenchyma removed by excision varied from 10-120 g.
Results/Complications: Gynecomastia correction was successfully performed at all the patients. All the 12 patients were followed up for 6-15 months. All the treated patients were satisfied with their aesthetic results. No infection, nipple-areola necrosis, hematoma, saucer deformity was encountered in this series.
Conclusion: LAL may possess many advantages over conventional liposuction. LAL has the advantages of excellent patient tolerance, quick recovery time, less blood loss and the additional benefit of dermal tighting.
Combining the LAL technic which is safe and efficient at the fat tissue, with glandular tissue excision enables an effective treatment of both the fatty and fibrous tissue of the male breast and avoids skin redundancy due to skin contraction. This combined technic has led to better aesthetic results.
Figure 1: Pre-operative anterior view of patient
Figure 2: Post-operative anterior view of patient
Figure 3-4: Pre-Postoperative lateral view of patient
Figure 5: Soft tissue thickness of before and after LAL application
Figure 6: Intraoperative view of LAL application
