The surgical procedure used to treat gynecomastia that is both glandular and fatty in nature with small or moderate enlargement and no skin excess (Simon stage 1 or 2a) combines both liposuction and resection. When liposuction is unsuccessful at removing all the tissue required to achieve a good result, the remaining tissue is resected through an inferior periareolar incision. Attention must be maintained not to over-resect the subareolar area. A cuff of tissue 1 to 1.5cm is left directly under the nipple areola complex.
12 March 2017