Aesthetic Plastic Surgery

, Volume 33, Issue 4, pp 549–554 | Cite as

Eccentric Mastectomy and Zigzag Periareolar Incision for Gynecomastia

  • Lung-Chen TuEmail author
  • Kwang-Yi Tung
  • Heng-Chang Chen
  • Wen-Chen Huang
  • Hung-Tao Hsiao
Original Article



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.


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.


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.


The normal male chest contour can be restored by the described method of eccentric subcutaneous mastectomy.


Compression Gynecomastia Liposuction Semicircular Subcutaneous mastectomy Zigzag skin incision 



We appreciate Dr. Mary Jeanne Buttrey’s revision of this article.


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Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2009

Authors and Affiliations

  • Lung-Chen Tu
    • 1
    • 2
    Email author
  • Kwang-Yi Tung
    • 1
  • Heng-Chang Chen
    • 1
  • Wen-Chen Huang
    • 1
  • Hung-Tao Hsiao
    • 1
  1. 1.Department of Plastic SurgeryMackay Memorial HospitalTaipeiTaiwan
  2. 2.Mackay MedicineNursing and Management CollegeBeitou, TaipeiTaiwan

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