Aesthetic Plastic Surgery

, Volume 31, Issue 3, pp 244–249 | Cite as

Correction of Gynecomastia Through a Single Puncture Incision

  • Henry A. Mentz
  • Amado Ruiz-RazuraEmail author
  • German Newall
  • Christopher K. Patronella
  • Laura A. Miniel


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.


Glandular 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.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Henry A. Mentz
    • 1
  • Amado Ruiz-Razura
    • 1
    Email author
  • German Newall
    • 1
  • Christopher K. Patronella
    • 1
  • Laura A. Miniel
    • 1
  1. 1.The Aesthetic Center for Plastic SurgeryHouston

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