Adipomastia
Adipomastia | |
---|---|
Other names | Lipomastia, fatty breasts, pseudogynecomastia. |
A male with probable comorbid gynecomastia and pseudogynecomastia | |
Specialty | Plastic surgery |
Symptoms | excess of skin and/or a flat layer of adipose tissue in the breasts without true gynecomastia.[1] |
Causes | Weight loss |
Differential diagnosis | Gynecomastia |
Treatment | Liposuction, surgery. |
Adipomastia, also known colloquially as fatty breasts,
Diagnosis
Adipomastia can be classified as grade one, two, or three. Grade one is characterized as having minimum excess fat and skin on the chest, as well as limited change in nipple placement and inframammary fold descent. Grade 1a has no lateral excess skin roll, while grade 1b shows lateral chest skin roll. Grade two is classified as a nipple-areola complex and inframammary fold below the optimum inframammary fold, a lateral chest roll, and limited upper abdominal laxity. Grade three is described as a nipple-areola complex and inframammary fold beneath the optimum inframammary fold, lateral chest roll, and substantial upper abdominal laxity.[10]
Treatment
Ultrasonic and suction-assisted lipectomy, followed by secondary excisional procedures, can be used to treat Grade 1a Adipomastia. Ultrasonic and suction-assisted lipectomy, as well as direct excision of the lateral chest roll, are used to treat grade 1b Adipomastia. Secondary excisional procedures can be used to treat remaining deformities that do not retract properly.[10]
Grade 2 Adipomastia may be managed with a dermoglandular pedicled reconstruction.[10]
Grade 3 Adipomastia is treated with free-nipple grafting due to the degree of resection.[10]
References
- ^ a b c What Is PseudoGynecomastia? Chest Fat Or Gyno? Ask Dr. C — Episode 13, retrieved 2021-12-16
- ISBN 978-1-4496-4857-2.
- ISBN 978-0-7295-8561-3.
- ISBN 978-1-4614-6633-8.
- ^ ISBN 978-3-8055-8220-9.
- ^ ISBN 978-1-907816-28-4.
- ^ ISBN 978-93-5152-857-9.
- ISBN 978-3-662-04491-9.
- ISBN 978-0-398-07554-5.
- ^ PMID 18971712.