[Surgical therapy of gynecomastia and its results]

The objective of our study was to evaluate the factors which lead to operative therapy of gynaecomastia for cosmetic or diagnostic reasons and to assess the postoperative results. 100 patients with gynaecomastia underwent subcutaneous mastectomy (n = 98) or total mastectomy for gynaecomastia through different incisions, with subjectively satisfactory results in 93% of all patients, although cosmetically unsatisfactory results occurred in more than 50% of all patients. Although the surgical objective is achieved by current operative therapy, many patients experience cosmetically unsatisfactory results, which demands the evaluation of other operative strategies with a potentially higher rate of cosmetically adequate results.