Treatment of Gynecomatia in a Patient with Prader-Willi Syndrome.

Kang, Nak Heon; Song, Seung Han; Oh, Sang Ha

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2007;34(5):656-658.
Published online September 1, 2007.

Treatment of Gynecomatia in a Patient with Prader-Willi Syndrome.

Nak Heon Kang, Seung Han Song, Sang Ha Oh

Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University, Daejeon, Korea. djplastic@ cnu.ac.kr

Abstract

PURPOSE
Prader-Willi Syndrome(PWS) is a congenital chromosomal disorder characterized by compulsive and early development of obesity. Obesity is identified as the main cause of morbidity in PWS individuals. Also, body change for rapid weight gain, such as gynecomastia, can cause considerable functional and psychological trauma, We corrected successfully gynecomastia in PWS patient, so we reported our experience of surgical method and literature reviews. METHODS: A 16-year-old male patient presented with gynecomastia. He was diagnosed as with PWS at pediatric department. We performed reduction mammaplasty using inferior pedicle and Wise pattern. Excision amount was 1350g in right breast and 1415g in left breast. Also, we managed upper and lateral fullness of breast with liposuction.
RESULTS
There were no specific complications, such as hematoma, infection, nipple-areola complex necrosis, and so on. Also, aesthetic and functional outcome was acceptable
CONCLUSION
We experienced successful correction of gynecomastia in PWS patient, and found advantages of conventional reduction mammaplasty using inferior pedicle and Wise pattern at this specific situation.

Keywords: Prader-Willi syndrome; Gynecomastia; Reduction mammaplasty