Quilting Sutures and Suction Drains in Preventing Postoperative Complications in Gynecomastia Surgery.

Journal: Aesthetic plastic surgery
Published Date: May 12, 2025

Abstract

INTRODUCTION: Gynecomastia is characterized by enlarged breast tissue in men and is often caused by genetic or endocrinological disorders, cancer, or medication use, with idiopathic causes being the most common. If no clinically treatable cause is identified and the condition persists for more than two years, surgical treatment is indicated. This typically involves adenectomy with or without liposuction and resection of excess skin when necessary. Major complications include hematoma, seroma, infection, and dehiscence. Quilting sutures, as previously described in abdominoplasty, can minimize dead space and reduce hematoma and seroma formation.

Authors

  • Fernando Campos Moraes Amato
    Division of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil. fernando@amato.com.br.
  • Miguel Sabino Neto
    Division of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
  • Marcelo Moraes Trincado
    Division of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
  • Paulo Maranhão Gusmão Pincovsky de Lima
    Division of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
  • Laís Uyeda Aivazoglou
    Department of Radiology, Federal University of São Paulo, São Paulo, SP, Brazil.
  • Fernanda Garozzo Velloni
    Department of Radiology, Federal University of São Paulo, São Paulo, SP, Brazil.
  • Gabriel de Almeida Arruda Felix
    Division of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
  • Lydia Masako Ferreira
    Division of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.

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