A novel technique for correcting the over-corrected gynaecomastia using stacked acellular dermal matrix

The ‘saucer-shaped deformity’ is the undesirable outcome following over-resection of gynaecomastia. Correction can be challenging, lipomodelling may be unfavourable or unpredictable, and autologous grafts often require additional unwanted scars. We present a case of unilateral gynaecomastia over-res...

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Bibliographic Details
Published in:European journal of plastic surgery 2018-04, Vol.41 (2), p.243-244
Main Authors: Allouni, Ammar, Fung, Victoria, Kohlhardt, Stan
Format: Article
Language:English
Subjects:
Case Report
Medicine
Medicine & Public Health
Plastic Surgery
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Summary:The ‘saucer-shaped deformity’ is the undesirable outcome following over-resection of gynaecomastia. Correction can be challenging, lipomodelling may be unfavourable or unpredictable, and autologous grafts often require additional unwanted scars. We present a case of unilateral gynaecomastia over-resection where disks of acellular dermal matrix (ADM) were interwoven in the subdermal, intrapectoral, and interpectoral planes to correct the areolar cavity. A routine review at 17 months showed maintained projection of the areola, and the patient was delighted with the natural contour. Level of Evidence: Level V, therapeutic study.
ISSN:0930-343X
1435-0130
DOI:10.1007/s00238-017-1356-1