The surgical approach to gynaecomastia

The main reason patients seek treatment for gynaecomastia is the marked embarrassment this condition causes. The extra-areolar incisions in the surgical treatment may give obvious and hypertrophic scars as embarrassing as the original benign disease. The recommended semi-circular intra-areolar incision to be used to achieve the aims of treatment in this condition--a normal male contour with an imperceptible scar--is described. Four cases are shown comparing the results of surgical treatment using different incisions.