Abstract：
BACKGROUND: Gynecomastia is a progressive disease characterized by enlarged breasts, affecting a significant proportion of men. Persistent gynecomastia negatively affects the psychological and emotional development of patients; therefore, surgical intervention is required. In this article, we describe a surgical technique, where liposuction through an axillary incision is used in combination with a single small periareolar incision, to obtain the most minimal scars in the treatment of gynecomastia.
METHODS: Between June 2021 and June 2023, 125 patients with different Simon grades of gynecomastia were enrolled. The patients\' basic conditions and operation processes were recorded. Following surgery, a score was assigned according to the five main aesthetic aspects of the surgical procedure.
RESULTS: In total, 125 patients with gynecomastia were treated with a pre-axillary fold incision combined with a small areolar incision. There were 17 cases of Simon grade I, 46 grade IIA, 42 grade IIB, and 20 grade III. The average operation time was 45.8 min, the average liposuction volume was 250.5 mL, the average glandular tissue volume was 50.5 g, intraoperative blood loss ranged from 15 to 60 mL, and the average hospital stay was 3.2 days. Regarding the postoperative aesthetic effect, doctors scored > 4 points, and the patient satisfaction score was > 7.5, which fully affirmed the aesthetic effect of this method.
CONCLUSIONS: Treatment of gynecomastia through an anterior axillary fold incision combined with a small areolar incision is safe and feasible, involving a simple procedure, short operation time, and few complications. Its efficacy and cosmetic effects could lead to its use as a primary surgical method to treat gynecomastia.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .
METHODS: Between June 2021 and June 2023, 125 patients with different Simon grades of gynecomastia were enrolled. The patients\' basic conditions and operation processes were recorded. Following surgery, a score was assigned according to the five main aesthetic aspects of the surgical procedure.
RESULTS: In total, 125 patients with gynecomastia were treated with a pre-axillary fold incision combined with a small areolar incision. There were 17 cases of Simon grade I, 46 grade IIA, 42 grade IIB, and 20 grade III. The average operation time was 45.8 min, the average liposuction volume was 250.5 mL, the average glandular tissue volume was 50.5 g, intraoperative blood loss ranged from 15 to 60 mL, and the average hospital stay was 3.2 days. Regarding the postoperative aesthetic effect, doctors scored > 4 points, and the patient satisfaction score was > 7.5, which fully affirmed the aesthetic effect of this method.
CONCLUSIONS: Treatment of gynecomastia through an anterior axillary fold incision combined with a small areolar incision is safe and feasible, involving a simple procedure, short operation time, and few complications. Its efficacy and cosmetic effects could lead to its use as a primary surgical method to treat gynecomastia.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .
摘要：
背景：男性乳房发育症是一种以乳房增大为特征的进行性疾病，影响了相当大比例的男性。持续的男性乳房发育对患者的心理和情绪发展产生负面影响;因此，需要手术干预。在这篇文章中,我们描述了一种手术技术，通过腋窝切口吸脂术与单个小乳晕切口结合使用，在男性乳房发育症的治疗中获得最小的疤痕。
方法：在2021年6月至2023年6月之间，纳入了125例不同Simon等级的男性乳房发育症患者。记录患者的基本情况和手术过程。手术后,根据外科手术的五个主要美学方面进行评分.
结果：总计，125例男性乳房发育症患者采用腋前皱褶切口联合乳晕小切口治疗。有17例Simon一级,46级IIA，42级IIB，20级III。平均手术时间为45.8min,平均吸脂体积为250.5mL,平均腺体组织体积为50.5g,术中失血量15～60mL,平均住院时间为3.2天。关于术后美学效果，医生得分>4分,患者满意度评分>7.5分,充分肯定了该方法的美学效果。
结论：腋前折联合乳晕小切口治疗男性乳房发育是安全可行的，涉及一个简单的程序，操作时间短,很少有并发症。其功效和美容效果可能导致其用作治疗男性乳房发育症的主要手术方法。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：在2021年6月至2023年6月之间，纳入了125例不同Simon等级的男性乳房发育症患者。记录患者的基本情况和手术过程。手术后,根据外科手术的五个主要美学方面进行评分.
结果：总计，125例男性乳房发育症患者采用腋前皱褶切口联合乳晕小切口治疗。有17例Simon一级,46级IIA，42级IIB，20级III。平均手术时间为45.8min,平均吸脂体积为250.5mL,平均腺体组织体积为50.5g,术中失血量15～60mL,平均住院时间为3.2天。关于术后美学效果，医生得分>4分,患者满意度评分>7.5分,充分肯定了该方法的美学效果。
结论：腋前折联合乳晕小切口治疗男性乳房发育是安全可行的，涉及一个简单的程序，操作时间短,很少有并发症。其功效和美容效果可能导致其用作治疗男性乳房发育症的主要手术方法。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
