J Korean Soc Aesthetic Plast Surg.  2009 Oct;15(3):242-245.

Correction of Gynecomastia by Subcutaneous Mastectomy through "Zigzag" Wavy-Line Periareolar Incision with Liposuction

  • 1Department of Plastic and Reconstructive Surgery, School of Medicine, Pusan National University, Busan, Korea. baeyc2@hanmail.net


Nowadays, several surgical options are available for correction of gynecomastia. The present authors combined subcutaneous mastectomy with liposuction and analyzed the postoperative results to find out an effective surgical method with few complications and good cosmetic result. From January, 2000 to October, 2008, 22 patients(41 breasts) underwent subcutaneous mastectomy through "Zigzag" wavy-line periareolar incision, and liposuction was done on peripheral region through the same approach site. The results were evaluated in terms of postoperative complications, character of the scar on periareolar region and subjective satisfaction of patients. Three patients(7.3%) experienced complicated with hematoma, however, all of them were healed by simple removal and compressive dressing without leaving any problem. Most of the patients were tolerable with operative scar on periareolar region, however, hypertrophic scar developed in 1 patient(2.4%) and regular follow-up with intralesional triamcinolone injection is now in progress. On the period of over 6 months, all of the patients were satisfied with postoperative contour of their breasts. By subcutaneous mastectomy with peripheral liposuction through "Zigzag" wavy-line periareolar incision for correction of gynecomastia, it was possible to excise sufficient volume of breast tissue with minimum postoperative scar and complications.


Gynecomastia; Subcutaneous; Mastectomy; Liposuction
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