Abstract
The treatment of larger types of gynecomastia is significantly different than that of less severe gynecomastias. Special concerns of the former include aerola 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-aerola placement, form and viability, and cosmetically unacceptable scars. We describe a new technique that uses an inferior pedicle to reposition the nipple-aerola 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.
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Kornstein, A.N., Cinelli, P.B. Inferior pedicle reduction technique for larger forms of gynecomastia. Aesth. Plast. Surg. 16, 331–335 (1992). https://doi.org/10.1007/BF01570696
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DOI: https://doi.org/10.1007/BF01570696