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[Peri-areolar approach in pronounced gynecomastia with focus-plasty and liposuction]
T Bauer1, S Gruber, B Todoroff
1Abteilung für Plastische, Asthetische und Wiederherstellungschirurgie, Krankenhaus der Barmherzigen Brüder, Salzburg, Osterreich.
Introduction:
The treatment of gigantic gynecomastia has usually been accompanied by ugly scars.
Methods:
Because of our experiences in 38 patients with gynecomastia grade III, we suggest a surgical technique that not only involves a simple mastectomy and liposuction, but also a mere periareoler incision and, if necessary, repeated focusplasty and liposuction. Excessive skin can be repaired with a so-called focusplasty.
Results:
In young patients this can successfully be achieved in one operation.
Conclusions:
Because skin has a minimized ability to retract in older patients, repeat operative sessions are necessary.