Aesthetic plastic surgery · 2026
Gynecomastia Donut Excision Technique Description and Review of Literature.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Arab Khalid, Alsuhaim Abdulaziz, Alkhwildi Lama A, Alsubhi Mohammed Naif, Alwathnani Yara K, Altalhah Abdulltaif
Аннотация
BACKGROUND: Gynecomastia is benign enlargement of male breast tissue that may cause psychological distress and aesthetic concerns. Surgical correction can be complicated by scarring, contour irregularities, and nipple-areolar complex (NAC) deformity.
METHODS: This article presents a narrative review and describes a surgical technique involving preoperative marking, VASER-assisted liposuction, circumferential de-epithelialization, controlled glandular excision, preservation of dermoglandular tissue beneath the NAC, and staged closure.
RESULTS: The described approach combines contouring with preservation of NAC support and a staged closure intended to distribute tension. The photographs illustrate preoperative and postoperative appearances; comparative effectiveness, complication rates, and long-term outcomes have not been established.
CONCLUSIONS: Donut excision with dermoglandular preservation and staged closure is a described approach to gynecomastia correction. Comparative studies with longer follow-up and standardized patient-reported outcomes are needed to evaluate its safety and aesthetic benefits.
LEVEL OF EVIDENCE V: 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 the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: This article presents a narrative review and describes a surgical technique involving preoperative marking, VASER-assisted liposuction, circumferential de-epithelialization, controlled glandular excision, preservation of dermoglandular tissue beneath the NAC, and staged closure.
RESULTS: The described approach combines contouring with preservation of NAC support and a staged closure intended to distribute tension. The photographs illustrate preoperative and postoperative appearances; comparative effectiveness, complication rates, and long-term outcomes have not been established.
CONCLUSIONS: Donut excision with dermoglandular preservation and staged closure is a described approach to gynecomastia correction. Comparative studies with longer follow-up and standardized patient-reported outcomes are needed to evaluate its safety and aesthetic benefits.
LEVEL OF EVIDENCE V: 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 the Table of Contents or the online Instructions to Authors www.springer.com/00266 .