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How to Avoid Nipple–Areola Complex Complications in High-Grade Gynecomastia Patients Treated by Mastectomy: Surgical Pearls

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Nipple-Areolar Complex Reconstruction

Abstract

Gynecomastia is an enlargement of the male breast common in both neonates and adolescent boys and senescent males. The authors discuss classification and the surgical treatment of gynecomastia as well as nonsurgical therapeutic options for treatment of gynecomastia that are based on medical therapy aimed to achieve a spontaneous regression of breast tissue regulating the hormonal imbalance. Described are the authors’ technique of performing the procedure and the results thereof.

The technique proposed allows one to avoid volume deficit, shape and surface asymmetries, and scar retraction. Furthermore, the conic shape pedicle dramatically reduces the risk of nipple–areolar complex abnormalities.

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Author information

Authors and Affiliations

  1. Department of Senology, Ospedale Santa Maria della Misericordia, Asur Marche Area, Vasta 1, Urbino, Italy

    Daniele Bordoni M.D., Marco Serafini R.N. & Cesare Magalotti M.D.

  2. Department of Senology, Arcispedale S. Maria Nuova—IRCCS, Reggio Emilia, Italy

    Giuseppe Falco M.D.

  3. Department of Plastic Surgery, Ospedale San Gerardo, Monza, Italy

    Pierfrancesco Cadenelli M.D.

  4. Department of Plastic Surgery, Università Politecnica delle Marche, Ancona, Italy

    Matteo Ornelli M.D.

  5. Department of General Surgery, Ospedale San Salvatore, Pesaro, Italy

    Alberto Patriti M.D., PhD.

  6. Department of Plastic Surgery, The Talpiot Medical Leadersjip Program, Sheba Medical Center, Ramat Gan, Israel

    Ariel Tessone M.D.

Authors
  1. Daniele Bordoni M.D.
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  2. Giuseppe Falco M.D.
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  3. Pierfrancesco Cadenelli M.D.
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  4. Matteo Ornelli M.D.
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  5. Alberto Patriti M.D., PhD.
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  6. Ariel Tessone M.D.
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  7. Marco Serafini R.N.
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  8. Cesare Magalotti M.D.
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Corresponding author

Correspondence to Daniele Bordoni M.D. .

Editor information

Editors and Affiliations

  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

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Bordoni, D. et al. (2018). How to Avoid Nipple–Areola Complex Complications in High-Grade Gynecomastia Patients Treated by Mastectomy: Surgical Pearls. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_30

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  • DOI: https://doi.org/10.1007/978-3-319-60925-6_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60924-9

  • Online ISBN: 978-3-319-60925-6

  • eBook Packages: MedicineMedicine (R0)

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