Dr Sadiq Al Ekri is the head of the Plastic Surgery and Burns Unit in Salmaniya Medical Centre in the Kingdom of Bahrain. Dr Sadiq graduated from Arabian Gulf University in 1992. He finished His residency in Salmaniya Medical Complex and went to Australia as a fellow in Sydney. Since 2007 he works as a Consultant Plastic Surgeon in Salmaniya Medical Complex with special interest in Reconstructive, Aesthetic and Burn surgeries.
DIFFERENT TECHNIQUES OF SURGICAL CORRECTION OF GYNECOMASTIA AND SUPERIORITY OF INFERIOR PEDICLE TECHNIQUE FOR HIGH GRADE GYNECOMASTIA:
Sadiq Al Ekri MBBS CABS, Senior Consultant in Plastic and Reconstructive Surgery, Head of Plastic Surgery and Burns Unit, SMC, Bahrain Isa AlAlwani MB BCh BAO LRCSI LRCPI (NUI), Plastic Surgery Unit, SMC, Bahrain
Gynaecomastia can present idiopathically or physiologically. Surgical treatment is the standard of care for persistent gynecomastia. The aim was to identify demographics and required surgical methods of treatment. Methods: A retrospective analysis of the clinical records of all gynecomastia patients referred to plastic surgery unit was done. This included 100 cases from September 2014 to February 2018. Results: Gynecomastia was unilateral in 27 (27%) and bilateral in 73(73%). Teenagers group
(<20 years) included 4 (4%). The second age group (between 20 and 34 years) included 56 (56%) which was the majority. The third age group (between 35 and 49) consisted of 33 (33%). Older men (between 50 and 64 years) were only 9 (9%). None of our patients presented for surgical treatment were over 65 years. This is in sharp contrast to the presenting age of gynecomastia patients in the studies reviewed.1-4 8 patients required excision only with a mean age of 24.3 years. 57 patients (57%) required a combination of excision and liposuction with a mean age of 29.3 years. The remaining 35 patients required liposuction only with a mean age of 36.8 years. All patients with severe gynecomastia required inferior pedicle approach with only 1 patient (1%) developing a hematoma which is much lower than other popular techniques. Conclusion: Surgical Correction of Grade 1 and 2 gynecomastia by liposuction and Grade 3 and 4 by inferior pedicle technique are satisfactory and safe in the hand of experienced plastic surgeon.