|LETTER TO EDITOR
|Year : 2018 | Volume
| Issue : 3 | Page : 342-343
Re: A novel method to insert drain atraumatically after liposuction in gynecomastia
Alessandro Innocenti, Dario Melita, Marco Innocenti
Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy
|Date of Web Publication||7-Mar-2019|
Dr. Alessandro Innocenti
Viale Giacomo Matteotti 42, 50132 Firenze
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Innocenti A, Melita D, Innocenti M. Re: A novel method to insert drain atraumatically after liposuction in gynecomastia. Indian J Plast Surg 2018;51:342-3
|How to cite this URL:|
Innocenti A, Melita D, Innocenti M. Re: A novel method to insert drain atraumatically after liposuction in gynecomastia. Indian J Plast Surg [serial online] 2018 [cited 2019 Jul 20];51:342-3. Available from: http://www.ijps.org/text.asp?2018/51/3/342/253549
We read with great interest the article titled, ‘A novel method to insert drain atraumatically after liposuction in gynaecomastia’ by Sunil Gaba, and we congratulate the authors.
We agree with the authors that, also liposuction, even when combined with glandular resection, has an important role in the surgical treatment of gynaecomastia, for flattening the thorax, eliminating fat residuals and creating a controlled shrinking of the cutaneous flat to recontour the male chest area. Seromas is one of the most common complications when liposuction is included in gynaecomastia surgical correction.
In our practice, with more than 600 patients undergoing gynaecomastia surgical correction and long-term evaluation for complications and recurrences, mainly based on direct excision of the gland, the inferior emi-periareolar access, allowing a direct view of the surgical field, ensures a valid control of haemostasis, reducing the incidence of haematomas significantly.
Furthermore, we retain that quilting stitches, firmly connecting the adipo-cutaneous thoracic flap to the fascial plane, with a compressive medical dressing, effectively contributes in reducing seromas and haematomas. Moreover, the compression is maintained, for at least 1 month postoperatively, using a compressive jersey.,
The use of drains should be suggested only in patients with the removal of large amount of breast gland or with a personal history of coagulation disorder, although the final choice for their insertions should be made directly in the operation room and last for not longer than 48 h. In fact, we do not retain the use of drains mandatorily for this type of surgery, even because the use of suction drains themselves could be responsible for complications such as surgical-site infections and pathological scarring which might be the cause of patients’ complaints, especially in aesthetic surgery.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| » References|| |
Gaba S, Ajai K S, Sharma RK, Chetan L. A novel method to insert drain atraumatically after liposuction in gynaecomastia. Indian J Plast Surg 2018;51:102-3.
] [Full text]
Innocenti A, Melita D, Mori F, Ciancio F, Innocenti M. Management of Gynecomastia in Patients With Different Body Types: Considerations on 312 Consecutive Treated Cases. Ann Plast Surg. 2017;78:492-6.
Innocenti A, Ciancio F, Portincasa A, Parisi D. Discussion: Surgical Management of Gynecomastia-Subcutaneous Mastectomy and Liposuction. Aesthetic Plast Surg. 2017;41:983-8.
Innocenti A, Andretto Amodeo C, Ciancio F. Wide-undermining neck liposuction: tips and tricks for good results. Aesthetic Plast Surg. 2014;38:662-9.
Innocenti A, Ciancio F, Francesco M, Melita D, Innocenti M. Comment to “No-Drain Single Incision Liposuction Pull-Through Technique for Gynecomastia”. Aesthetic Plast Surg. 2017;41:990-1.