Laser-assisted lipolysis in the treatment of gynecomastia: a prospective study in 28 patients.

Lasers in Medical Science
M A TrellesF M Leclère

Abstract

Gynecomastia is the most common breast pathology. Numerous excisions and liposuction techniques have been described to correct bilateral male breast enlargement. Recently, there has been a shift from the open approach to minimally invasive techniques. This article reports a 5-year experience using laser-assisted lipolysis (LAL) to treat gynecomastia, and describes the surgical technique. Between January 2006 and December 2010, a total of 28 patients with bilateral gynecomastia were treated with LAL. Patients had a mean age of 36.5 years (range 24 to 56 years). LAL was performed with a 980-nm diode laser (continuous emission, 15 W power, 8-12 kJ total energy per breast) after tumescent anesthetic infiltration. The breast was evaluated objectively by two physicians who compared chest circumference and photographs. Patients were also asked to score the results using a visual analogue scale: 75 to 100 (very good), 50-74 (good), 25 to 49 (fair) and 0 to 24 (poor). The postoperative period for all patients was incident-free. After 6 months, 18 patients (64.3%) scored the results as "very good", 6 as "good" (21.4%), 3 as "fair" (10.7%) and 1 "poor" (3.6%). Mean chest circumferences pre- and postoperatively were, respectively, 117.4 ± ...Continue Reading

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Citations

Mar 9, 2013·Lasers in Medical Science·Franck Marie LeclèreMario A Trelles
Oct 7, 2014·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Franck Marie LeclèreMario A Trelles
Jul 30, 2014·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Franck Marie LeclèreMario A Trelles
Jul 29, 2015·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Girish S Munavalli, Ratchathorn Panchaprateep
Jan 19, 2015·Lasers in Medical Science·Franck Marie LeclèreMario A Trelles
May 22, 2016·Journal of Biomedical Optics·Jieun HwangHyun Wook Kang
Dec 23, 2017·Health Technology Assessment : HTA·Ros WadeNerys Woolacott
Feb 6, 2017·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Selma Sönmez Ergünİsmail Melih Kuzu
Apr 20, 2016·The Journal of Craniofacial Surgery·Kemalettin YildizEthem Güneren
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