Arch Aesthetic Plast Surg.  2013 Feb;19(1):85-88. 10.14730/aaps.2013.19.1.85.

Surgical Treatment of Severe Gynecomastia Using The Horizontal Ellipse Method

• Lee JC
• Lee YS
• Park ES

• KMID: 2117941
• DOI: http://doi.org/10.14730/aaps.2013.19.1.85

Abstract

Gynecomastia is enlargement of the male breast caused by parenchymal hypertrophy or a cutaneous distortion of breast skin covering or both. It can be classified by the breast size and severity of breast ptosis. If there is slight hypertrophy alone with no ptosis, then liposuction or subcutaneous mastectomy is usually sufficient. However severe gynecomastia, when hypertrophy accompanying with breast ptosis, is not enough to be corrected by liposuction or subcutaneous mastectomy, or both together. We cannot obtain a good cosmetic result by performing that method. The patient is a 18 year old man, having used steroid for 5 years from when he was five years old. He is slightly corpulent, BMI 33.9. And Simon's gynecomastia classification was grade 3. We used horizontal excision ellipse of the breast's redundant skin and deep excess tissue and a superior pedicle flap carrying the areola-nipple complex to its new site on the chest wall. We could get flat, male muscular-looking breast and symmetric areola-nipple complex position without hematoma, infection and nipple sensory loss. In treating severe gynecomastia, the horizontal excision ellipse method is good surgical technique that can draw good results in cosmetic appearance with little complication.

Keyword

Gynecomastia; Mammaplasty; Horizontal ellipse

MeSH Terms

Breast
Cosmetics
Female
Gynecomastia
Hematoma
Humans
Hypertrophy
Lifting
Lipectomy
Male
Mammaplasty
Mastectomy, Subcutaneous
Nipples
Skin
Thoracic Wall
Cosmetics