| Title | Inferior pedicle reduction technique for larger forms of gynecomastia. | | Author(s) | Kornstein AN, Cinelli PB | | Institution | St. Luke's-Roosevelt Hospital Center, Division of Plastic and Reconstructive Surgery, New York, NY 10019. | | Source | Aesthetic Plast Surg 1992; 16(4):331-5. | | MeSH | Adult
Gynecomastia
Humans
Lipectomy
Male
Mammaplasty
Surgical Flaps
| | Abstract | The treatment of larger types of gynecomastia is significantly different than that of less severe gynecomastias. Special concerns of the former include areola enlargement, nipple-areola ptosis, and redundant skin. Many procedures have been described to address these issues, none of which is completely satisfactory; these are reviewed here. Unsatisfactory results may be due to residual breast hypertrophy, skin redundancy, complications related to nipple-areola placement, form and viability, and cosmetically unacceptable scars. We describe a new technique that uses an inferior pedicle to reposition the nipple-areola complex and to maintain its neurovascular integrity and form. A superiorly based chest wall flap in conjunction with suction-assisted lipectomy maximizes chest wall contour. There are no breast mound scars, only a periareolar and inframammary scar. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 1414658 |
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