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Surgical Correction of Gynecomastia with Minimal Scarring

Abstract

Background

Gynecomastia is a benign, excessive development of the male breast that occurs at an overall incidence of 32–36 %. The authors effectively removed peripheral fat tissues with power-assisted liposuction (PAL) and periareolar glandular tissues with a cartilage shaver in a series of patients. The small periareolar incisions were not easily recognized.

Methods

Between February 2010 and April 2012, the charts of 15 patients (28 breasts) treated with PAL and a cartilage shaver were retrospectively reviewed.

Results

The mean volume of fat tissue removed with liposuction was 319 mL, and the mean volume of glandular tissue removed with the cartilage shaver was 70 mL. The mean follow-up period was 11.2 months. No infection, nipple–areola complex necrosis, nipple retraction, or saucer deformity was encountered in this series. Intraoperative bleeding occurred in one patient. Mild asymmetries developed in three patients.

Conclusions

Use of PAL and a cartilage shaver for the treatment of gynecomastia allows for effective removal of both the fat and the glandular tissue of the breast through a minimal periareolar incision. This technique can achieve excellent aesthetic results with inconspicuous scarring.

Level of Evidence IV

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Acknowledgments

The authors thank illustrator Hye-Seong Park. This research was supported by Yeungnam University grants in 2012.

Conflict of interest

The authors declare that they have no conflicts of interest.

Author information

Correspondence to Il-Kug Kim.

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Supplementary material 1 (WMV 4130 kb)

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Lee, J., Kim, I., Kim, T. et al. Surgical Correction of Gynecomastia with Minimal Scarring. Aesth Plast Surg 36, 1302–1306 (2012). https://doi.org/10.1007/s00266-012-9970-6

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Keywords

  • Gynecomastia
  • Liposuction
  • Scar