title: Modified technique for correction of gynaecomastia.
abstract: OBJECTIVE
  To test a modification of the circumareolar incision for correction of a gynaecomastia from the points of view of complications and appearance of the scar.
  
  
  METHODS
  Clinical study.
  
  
  METHODS
  Military and university hospitals, Turkey.
  
  
  METHODS
  32 patients with gynaecomastia operated on between 1992 and 2000.
  
  
  METHODS
  Simon I patients were treated with an inferior semicircular periareolar incision (n = 12). Half of the Simon II patients had the same incision and the others were treated with a modified extended incision (n = 10 in each group).
  
  
  METHODS
  Haematoma, skin necrosis, nipple inversion, low-seated nipple, asymmetry, hypoaesthesia and hypertrophic scar.
  
  
  RESULTS
  Simon II patients treated with the unmodified incision had more haematomas and seromas than Simon I patients and worse cosmesis (p = 0.009 and p = 0.02). However, the complication rates did not differ significantly compared with the Simon II patients who had the modified incision.
  
  
  CONCLUSIONS
  A modified extended circumareolar incision results in fewer complication and better cosmesis in grade II gynaecomastia than the standard incision.
authors.affiliation: Harran University School of Medicine, Sanliurfa, Turkey. alicoskun20000@yahoo.com
authors.forename: A
authors.initials: A
authors.lastname: Coskun
authors.forename: S A
authors.initials: SA
authors.lastname: Duzgun
authors.forename: M
authors.initials: M
authors.lastname: Bozer
authors.forename: O F
authors.initials: OF
authors.lastname: Akinci
authors.forename: A
authors.initials: A
authors.lastname: Uzunkoy
mesh_terms: D000328:Adult; D003357:Cosmetic Techniques; D006177:Gynecomastia / Q000601:surgery*; D006801:Humans; D008297:Male; D015414:Mastectomy, Subcutaneous / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome