Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?

@article{zalp2018IsTT,
  title={Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?},
  author={Burhan {\"O}zalp and {\"O}mer Berk{\"o}z and Mustafa Aydınol},
  journal={Journal of Plastic Surgery and Hand Surgery},
  year={2018},
  volume={52},
  pages={13 - 7}
}
Abstract Objective: The aim of this study was to assess the efficacy of suction-assisted liposuction (SAL) in Simon grade 2b gynecomastia and its effect on sternal notch to nipple areola (SNN) distance. Methods: A retrospective analysis was performed on 21 patients with grade 2b gynecomastia who underwent SAL. Preoperative and postoperative SNN distances of the patients were measured, the results were analysed using a Mann–Whitney U test and a p-value <.05 was accepted as statistically… 
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TLDR
It is shown that subcutaneous mastectomy using a circumareolar incision without additional liposuction provides a good or very good aesthetic outcomes in patients with Simon grades I to IIa gynecomastia and that it is challenging to achieve a very good or even a good aesthetic outcome in patientswith Simon grades IIb to III gyne comastia.
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