{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T16:17:56Z","timestamp":1740154676900,"version":"3.37.3"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In surgery for gynecomastia, it is not sufficient to just remove the gland or do a liposuction that addresses the front of the chest only as it is not aesthetically pleasing for the patient and the surgeon alike. Most patients expect to achieve a sculpted look, which includes not only the breast area but also the surrounding areas such as the sides, the axillae, and the infraclavicular region. To tackle these areas and achieve a well-sculpted and aesthetic look, we describe the 4Dx (4 Directions) technique of liposuction for gynecomastia. It also makes the procedure more objective for plastic surgeons while allowing for individualization of the procedure.<\/jats:p>","DOI":"10.1055\/s-0044-1800779","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T23:59:41Z","timestamp":1734047981000},"page":"500-505","source":"Crossref","is-referenced-by-count":0,"title":["Gynecomastia: The 4Dx technique"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9388-5842","authenticated-orcid":false,"given":"Aakanksha","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Divine Aesthetic Surgery, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudhanshu","family":"Punia","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Divine Aesthetic Surgery, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Divine Aesthetic Surgery, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1055\/s-0043-1770963","article-title":"A new clinical classification for gynecomastia management and predictive outcome","volume":"56","author":"S Punia","year":"2023","journal-title":"Indian J Plast Surg"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"2588","DOI":"10.1016\/j.bjps.2021.02.006","article-title":"Blood supply of the male breast nipple-areola complex evaluated by CTA","volume":"74","author":"N Ding","year":"2021","journal-title":"J Plast Reconstr Aesthet Surg"},{"volume-title":"Total Definer Atlas of Advanced Body Sculpting","year":"2023","key":"ref4"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"93","DOI":"10.4103\/abr.abr_374_21","article-title":"Liposuction versus periareolar excision approach for gynecomastia treatment","volume":"12","author":"H Abdali","year":"2023","journal-title":"Adv Biomed Res"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1007\/s00266-021-02611-x","article-title":"Aesthetic outcome of gynecomastia management with conventional liposuction and cross-chest liposuction: a prospective comparative study","volume":"46","author":"R Singamsetty","year":"2022","journal-title":"Aesthetic Plast Surg"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"e33020","DOI":"10.1097\/MD.0000000000033020","article-title":"Single axillary incision endoscopic surgery and liposuction for gynecomastia","volume":"102","author":"M Tukenmez","year":"2023","journal-title":"Medicine (Baltimore)"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1097\/PRS.0000000000004807","article-title":"Defining the aesthetic units of the Male chest and how they relate to gynecomastia based on 635 patients","volume":"142","author":"R C Caridi","year":"2018","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.asjsur.2023.07.147","article-title":"Comprehensive aesthetic corrections of gynecomastia using the reproducible safe and minimally invasive surgical strategy","volume":"47","author":"Z N Xia","year":"2024","journal-title":"Asian Journal of Surgery"},{"key":"ref10","first-page":"468","article-title":"Long-term outcome of surgery for grade 4 gynecomastia: a single-center experience","volume":"57","author":"A Goel","year":"2024","journal-title":"Indian J Plast Surg"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1800779.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T23:40:08Z","timestamp":1735342808000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1800779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":9,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2024,12,27]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1800779","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"type":"print","value":"0970-0358"},{"type":"electronic","value":"1998-376X"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}