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Gynecomastia: Simultaneous Subcutaneous Mastectomy and Areolar Reduction with Minimal Inconspicuous Scarring

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Abstract

Acceptable scar positioning on the anterior male chest is very limited. In Gynecomastia surgery, an obvious areolar incision is the most sensitive indicator of a previous operation; a less apparent scar is indispensable for the patient’s psychological satisfaction. Whenever only areolar diameter reduction is required, the circumareolar incision must be performed in a position leaving the least conspicuous scar. Standard excision of an outer doughnut of areolar skin results in a visible and unnatural peri-areolar scar. The peri-nipple excision of areolar skin leaves the skin–areola junction undisturbed. When combined with a transverse areolar infra-nipple incision, access for subcutaneous mastectomy is facilitated. With this approach, risk of nipple vascular compromise is thought to be reduced, and necrosis of areolar pigmented skin virtually impossible.

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Authors and Affiliations

  1. Division of Plastic & Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Bishara S. Atiyeh, Fadel Chahine, Arij El-Khatib, Hamed Janom & Nazareth Papazian

Authors
  1. Bishara S. Atiyeh
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  2. Fadel Chahine
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  3. Arij El-Khatib
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  4. Hamed Janom
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  5. Nazareth Papazian
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Correspondence to Fadel Chahine.

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The authors declare that they have no conflicts of interest to disclose.

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Atiyeh, B.S., Chahine, F., El-Khatib, A. et al. Gynecomastia: Simultaneous Subcutaneous Mastectomy and Areolar Reduction with Minimal Inconspicuous Scarring. Aesth Plast Surg 39, 916–921 (2015). https://doi.org/10.1007/s00266-015-0567-8

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  • DOI: https://doi.org/10.1007/s00266-015-0567-8

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