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New horizons in gynecomastia: Evaluation of the postero-inferior pedicle technique
Ö Parıldar1, R Anlatıcı1, I Z Cengiz2
1Department of Plastic Reconstructive and Aesthetic Surgery, Gaziantep University, School of Medicine, Gaziantep, Turkey.
Introduction:
Gynecomastia, the benign enlargement of male breast tissue, impacts physical and psychological health. Grade III gynecomastia often requires surgery. The postero-inferior pedicle technique offers an alternative to free nipple grafts, preserving neurovascular integrity and aesthetics.
Materials And Methods:
This retrospective study included 12 patients treated with the postero-inferior pedicle technique. Data included demographics, surgical details, and outcomes. Preoperative and postoperative assessments utilized the SF-36v2 quality-of-life survey and a 7-item satisfaction questionnaire.
Results:
Patients had a mean age of 25.5years and BMI of 29.56kg/m2. Average operative time was 112.17mins, with 618.33g of tissue resected. Complications were minimal, with one hematoma. All patients rated chest aesthetics as "good" or "very good." SF-36v2 showed significant improvement in physical function (P<0.05) and pain reduction (P<0.05).
Discussion:
The postero-inferior pedicle technique is a safe, effective method for Grade III gynecomastia, offering minimal scarring, preserved neurovascular function, and high satisfaction.
