Advertisement

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

Abstract

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.

Keywords

Compression Gynecomastia Liposuction Semicircular Subcutaneous mastectomy Zigzag skin incision 

Notes

Acknowledgment

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

References

  1. 1.
    Courtiss EH (1987) Gynecomastia: Analysis of 159 patients and current recommendations for treatment. Plast Reconstr Surg 79:740–753PubMedCrossRefGoogle Scholar
  2. 2.
    Davidson BA (1979) Concentric circle operation for massive gynecomastia to excise the redundant skin. Plast Reconstr Surg 63:350–354PubMedCrossRefGoogle Scholar
  3. 3.
    Durani P, McCulley SJ (2007) Transareolar and H-incisions for the surgical treatment of gynecomastia. Plast Reconstr Surg 119:1387–1388PubMedCrossRefGoogle Scholar
  4. 4.
    Huang TT, Hidalgo JE, Lewis SR (1982) A circumareolar approach in surgical management of gynecomastia. Plast Reconstr Surg 69:35–40PubMedCrossRefGoogle Scholar
  5. 5.
    Iwuagwu OC, Drew PJ (2004) Ultrasound-guided minimally invasive surgery for fibroadenomas (comment). Arch Surg 139:564PubMedCrossRefGoogle Scholar
  6. 6.
    Letterman G, Schurter M (1969) The surgical correction of gynecomastia. Am Surg 35:322–325PubMedGoogle Scholar
  7. 7.
    Letterman G, Schurter M (1972) Surgical correction of massive gynecomastia. Plast Reconstr Surg 49:259–262PubMedCrossRefGoogle Scholar
  8. 8.
    Lewis CM (1985) Lipoplasty: treatment for gynecomastia. Aesth Plast Surg 9:287–292CrossRefGoogle Scholar
  9. 9.
    Lynch RC (1954) An operation for correction of gynecomastia through an areolar incision. Plast Reconstr Surg 13:412–418CrossRefGoogle Scholar
  10. 10.
    Mladick RA (1991) Gynecomastia: liposuction and excision. Clin Plast Surg 18:815–822PubMedGoogle Scholar
  11. 11.
    Ohyama T, Takada A, Fujikawa M, Hosokawa K (1998) Endoscope-assisted transaxillary removal of glandular tissue in gynecomastia. Ann Plast Surg 40:62–64PubMedCrossRefGoogle Scholar
  12. 12.
    Pitanguy I (1966) Transareolar incision for gynecomastia. Plast Reconstr Surg 38:414–419PubMedGoogle Scholar
  13. 13.
    Rohrich RJ, Ha RY, Kenkel JM, Adams WP Jr (2003) Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction (see comment). Plast Reconstr Surg 111:909–923 discussion 924–905PubMedCrossRefGoogle Scholar
  14. 14.
    Rosenberg GJ (1987) Gynecomastia: suction lipectomy as a contemporary solution. Plast Reconstr Surg 80:379–386PubMedCrossRefGoogle Scholar
  15. 15.
    Simon BE, Hoffman S, Kahn S (1973) Classification and surgical correction of gynecomastia. Plast Reconstr Surg 51:48–52PubMedCrossRefGoogle Scholar
  16. 16.
    Teimourian B, Perlman R (1983) Surgery for gynecomastia. Aesth Plast Surg 7:155–157CrossRefGoogle Scholar
  17. 17.
    Wiesman IM, Lehman JA Jr, Parker MG, Tantri MDP, Wagner DS, Pedersen JC (2004) Gynecomastia: an outcome analysis. Ann Plast Surg 53:97–101PubMedCrossRefGoogle Scholar

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

Personalised recommendations