Modified technique for correction of gynaecomastia

• Published in: The European journal of surgery Vol. 167; no. 11; pp. 822 - 824
• Main Authors: Coskun, Ali, Duzgun, Sukru A., Bozer, Mikdat, Akinci, Omer F., Uzunkoy, Ali
• Format: Journal Article
• Language: English
• Published: UK Taylor & Francis, Ltd 01.11.2001; Taylor & Francis
• Subjects: Adult; Biological and medical sciences; breast; complications; cosmesis; Cosmetic Techniques; gynaecomastia; Gynecology. Andrology. Obstetrics; Gynecomastia - surgery; Humans; incision; Male; Mammary gland diseases; Mastectomy, Subcutaneous - adverse effects; Mastectomy, Subcutaneous - methods; Medical sciences; Non tumoral diseases; surgery; Treatment Outcome; Asia; Turkey; Cosmetic; Human; Incision; Mammary gland diseases; Surgery; Risk factor; Hematoma; Complication; Male; Review; Technique; Gynecomasty
• ISSN: 1102-4151; 1741-9271
• DOI: 10.1080/11024150152717643

Objective: To test a modification of the circumareolar incision for correction of a gynaecomastia from the points of view of complications and appearance of the scar. Design: Clinical study. Setting: Military and university hospitals, Turkey. Subjects: 32 patients with gynaecomastia operated on between 1992 and 2000. Interventions: Simon I patients were treated with an inferior semicircular periareolar incision (n = 12). Half of the Simon II patients had the same incision and the others were treated with a modified extended incision (n = 10 in each group). Main outcome measures: Haematoma, skin necrosis, nipple inversion, low‐seated nipple, asymmetry, hypoaesthesia and hypertrophic scar. Results: Simon II patients treated with the unmodified incision had more haematomas and seromas than Simon I patients and worse cosmesis (p = 0.009 and p = 0.02). However, the complication rates did not differ significantly compared with the Simon II patients who had the modified incision. Conclusion: A modified extended circumareolar incision results in fewer complication and better cosmesis in grade II gynaecomastia than the standard incision. Copyright © 2001 Taylor and Francis Ltd.