Correction of Gynecomastia Through a Single Puncture Incision
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In men, the development of feminized breasts may cause significant emotional distress and embarrassment, particularly in young men and adolescents. Unfortunately, gynecomastia responds poorly to diet and exercise, and conventional corrective surgery may produce large stigmatizing areolar or chest scars and a flattened or concave chest. In 2004, board-certified plastic surgeons performed 16,275 corrective procedures, and in 2005 there was a 17% increase, according to The American Society of Plastic Surgeons (ASPS) procedural statistics. This report describes a surgical approach for removal of both glandular and adipose tissue using a small 3-mm areolar stab wound incision and a piecemeal glandular resection to correct gynecomastia with minimal and imperceptible external scarring. Pectoral etching of the chest and suction lipectomy are performed simultaneously to enhance and define the thoracic musculature and further virilize the upper thorax. Excellent results have been obtained with minimal complications. The authors present their experience with more than 200 consecutive cases over the past 4 years. They are very optimistic with these results because they have obtained a high degree of patient satisfaction.
KeywordsGlandular enlargement Gynecoleastia Lipo- section Male breast Reconstruction Single puncture excision
None of the authors had any financial interest or received any grants or outside funding for this study.
- 6.Mentz HA, Ruiz-Razura A, Newall G, Patronella CK: For men only: Body contouring for the athlete. Plast Surg Products, pp. 26–32, December 2004Google Scholar
- 7.Mentz HA, Ruiz-Razura A, Newall G, Patronella CK: Pectoral etching: A method for augmentation, delineation, and contouring the thoracic musculature in men. In Press. Accepted for publication in Plast Reconstr Surg July 18, 2006Google Scholar
- 10.Ruiz-Razura A, Mentz H, Patronella C, Newall G: Gynecomastia: Breast tissue removal through a single puncture incision. Poster presentation. Aesthetic Meeting 2004, ASAPS/ASERF, Vancouver, Canada, April 15–21, 2004Google Scholar
- 15.Wallace AM: Gynecomastia. In: Evans GRD (ed) Operative plastic surgery. McGraw-Hill: New York, pp. 686–697, 2000Google Scholar