Published in:
01-07-2009 | Original Article
Eccentric Mastectomy and Zigzag Periareolar Incision for Gynecomastia
Published in: Aesthetic Plastic Surgery | Issue 4/2009
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Background
Gynecomastia is enlargement of the male breast caused by gland proliferation. Surgery is performed for symptom relief or for cosmetic reasons. The authors used a modified operative procedure, then evaluated the results and safety.
Methods
Between 2001 and 2005, 22 men (median age, 26 years; range, 13–63 years) with gynecomastia underwent surgery. The operative procedure included a zigzag periareolar skin incision, eccentric subcutaneous mastectomy, and liposuction, with postoperative compression.
Results
All the patients were satisfied with the results of the surgery, which produced a chest contour resembling a normal male chest rather than simply a smaller breast. The only complication was a hematoma. One patient was found to have breast cancer.
Conclusions
The normal male chest contour can be restored by the described method of eccentric subcutaneous mastectomy.