Aesthetic Plastic Surgery

, Volume 35, Issue 4, pp 439–445 | Cite as

Surgical Correction of Gynecomastia in Thin Patients

  • Emanuele Cigna
  • Mauro Tarallo
  • Pasquale FinoEmail author
  • Liliana De Santo
  • Nicolò Scuderi
Original Article



Gynecomastia refers to a benign enlargement of the male breast. This article describes the authors’ method of using power-assisted liposuction and gland removal through a subareolar incision for thin patients.


Power-assisted liposuction is performed for removal of fatty breast tissue in the chest area to allow skin retraction. The subareolar incision is used to remove glandular tissue from a male subject considered to be within a normal weight range but who has bilateral grade 1 or 2 gynecomastia.


Gynecomastia correction was successfully performed for all the patients. The average volume of aspirated fat breast was 100–200 ml on each side. Each breast had 5–80 g of breast tissue removed. At the 3-month, 6-month, and 1-year follow-up assessments, all the treated patients were satisfied with their aesthetic results.


Liposuction has the advantages of reducing the fat tissue where necessary to allow skin retraction and of reducing the traces left by surgery. The combination of surgical excision and power-assisted lipoplasty also is a valid choice for the treatment of thin patients.


Gynecomastia Liposuction Power-assisted liposuction Surgical treatment 


Conflict of interest



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Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2010

Authors and Affiliations

  • Emanuele Cigna
    • 1
  • Mauro Tarallo
    • 1
  • Pasquale Fino
    • 1
    • 2
    Email author
  • Liliana De Santo
    • 1
  • Nicolò Scuderi
    • 1
  1. 1.Department of Dermatology and Plastic Reconstructive SurgeryUniversity of Rome, “Sapienza”, Policlinico Umberto IRomeItaly
  2. 2.Department of Dermatology and Plastic Reconstructive SurgeryUniversity of Rome, “Sapienza”, Policlinico Umberto IRomeItaly

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