title: Inferior pedicle reduction technique for larger forms of gynecomastia.
abstract: The treatment of larger types of gynecomastia is significantly different than that of less severe gynecomastias. Special concerns of the former include areola enlargement, nipple-areola ptosis, and redundant skin. Many procedures have been described to address these issues, none of which is completely satisfactory; these are reviewed here. Unsatisfactory results may be due to residual breast hypertrophy, skin redundancy, complications related to nipple-areola placement, form and viability, and cosmetically unacceptable scars. We describe a new technique that uses an inferior pedicle to reposition the nipple-areola complex and to maintain its neurovascular integrity and form. A superiorly based chest wall flap in conjunction with suction-assisted lipectomy maximizes chest wall contour. There are no breast mound scars, only a periareolar and inframammary scar.
authors.affiliation: St. Luke's-Roosevelt Hospital Center, Division of Plastic and Reconstructive Surgery, New York, NY 10019.
authors.forename: A N
authors.initials: AN
authors.lastname: Kornstein
authors.forename: P B
authors.initials: PB
authors.lastname: Cinelli
mesh_terms: D000328:Adult; D006177:Gynecomastia / Q000601:surgery*; D006801:Humans; D015187:Lipectomy; D008297:Male; D016462:Mammaplasty / Q000379:methods*; D013524:Surgical Flaps