Classification and Management of Gynecomastia

Lee, Seung Ryong; Lee, Won; Kang, Sang Yoon

Abstract

Psychological and social disturbances can be caused by gynecomastia and nipple hypertrophy. Several corrections for these problems have been developed. Recently, social trends focus on a good body shape. Young male patients increasingly visit hospitals to correction of minor deformities of breasts. These patients don't visit the hospital for just one of pathologic problem but seek corrections for multiple problems. These problems are mild forms of gynecomastia, nipple hypertrophy and areolar hypertrophy. Ten patients have visited our hospital to correct various problems using multiple procedures. Liposuction was used to reduce breast tissue in gynecomastia. Protruding of areola was corrected by intra-areola or circum-areola parenchymal excision. Large areolas were reduced by intra-areola circular incision. Large nipples were reduced by Regnault tehnique or wedge resection. We conclude that new trends of male breast correction is to watch nipple-areola-breast as one complex. A combined procedures must be done for correction of these trends.