Boomerang pattern correction of gynecomastia

Area of Science:

• Plastic Surgery
• Body Contouring
• Aesthetic Surgery

Background:

• Body lift surgery involves removing excess skin and fat to suspend and sculpt body parts.
• Achieving tight skin closure is crucial for muscular men to reveal superficial muscular bulk.
• Oblique elliptical excisions are designed for effective horizontal and vertical excess skin removal.

Purpose of the Study:

• To describe a comprehensive body contouring surgical technique for selected patients.
• To evaluate the effectiveness of a boomerang correction for gynecomastia combined with torso reshaping.
• To achieve aesthetic goals in muscular male patients, particularly after massive weight loss.

Main Methods:

• Twenty-four patients underwent boomerang pattern correction of gynecomastia.
• A J torsoplasty extension replaced the transverse upper body lift in 12 patients.
• Abdominoplasty with oblique flank excisions was used for torso effacement in 11 patients.

Main Results:

• All 24 patients showed satisfactory improvement in gynecomastia correction.
• Complications were limited, with no major revisions required.
• Scar maturation in the chest is a lengthy process, taking years to flatten and fade.

Conclusions:

• Comprehensive body contouring surgery, including boomerang correction and J torsoplasty with abdominoplasty, is effective for selected patients.
• This gender-specific approach goes beyond gynecomastia treatment to serve muscular male patients.
• The described techniques provide a practical means to achieve aesthetic goals in body lift surgery.