Surgical Treatment of Grade III Gynecomastia with the Technique of Horizontal Scar and Transposition of the Nipple-Areola Complex - “No Vertical Scar”

Lincoln Graça Neto*, Ana Clara Minguetti Graça and Fabíola Lupion

Rua Alferes Angelo Sampaio, 2029, Curitiba, Paraná, Brazil

^*Correspondance to: Lincoln Graça Neto 

 PDF  Full Text DOI: 10.25107/2474-1647.3175

Abstract

Introduction: The demand for surgery to correct gynecomastia has increased due to the large number of patients undergoing bariatric treatments. Most of these patients require great removal of excess skin, fatty tissue and repositioning of the nipple-areola complex, as well as adjustment of the volume of the areola. The aim of this study is to describe the technique for correcting grade III gynecomastia through a horizontal scar without vertical scar with repositioning of the papillary areola complex. Method: Prospective study of 27 male patients diagnosed with Simon?s grade III gynecomastia, operated on in a private clinic, between January 2013 and August 2020, using the horizontal scar technique with transposition of the nipple-areola complex and without vertical scar. Results: 27 patients were operated on, over a period of 7.5 years, all ex-obese, who had previously undergone weight loss treatment. The age varying from 17 to 74 years old, average age of 52 years old. The weight of the removed parts ranged from 175 g to 758 g, an average of 376 g. The complications were: 1 case of late hematoma = 3.7%, 1 case of seroma = 3.7% and 2 cases of hypertrophic scarring = 7.4%. Conclusion: The surgical treatment of grade III gynecomastia using the horizontal scar technique, without vertical scar and with repositioning of the nipple-areola complex, proved to be effective, with low morbidity and with good aesthetic results.

Keywords

Gynecomastia; Hypertrophy; Obesity; Breast; Man

Cite the article

Neto LG, Graça ACM, Lupion F. Surgical Treatment of Grade III Gynecomastia with the Technique of Horizontal Scar and Transposition of the Nipple-Areola Complex - “No Vertical Scar”. Clin Surg. 2021; 6: 3175..