title: [The double-ring, single-pedicle reduction plasty for gynecomastia].
abstract: OBJECTIVE
  To investigate a new operation of breast reduction for gynecomastia.
  
  
  METHODS
  In the past 5 years we treated 42 cases (80 sites) of gynecomastia with the double-ring incision, a supra-lateral derma-mammary pedicle of the nipple and areola and the tumescent technique.
  
  
  RESULTS
  The tumescent anesthesia was effective. The operation was easily performed with slight injury and less bleeding. It was safe and the patients recovered quickly. 100 to 500 grams tissue was resected from one breast. There have been no severe postoperative complications, such as nipple or areola necrosis. Follow-up from 3 to 48 months showed satisfactory results except that there was mild scar hypertrophy on the incision around the areola.
  
  
  CONCLUSIONS
  The new operation for gynecomastia with the double-ring incision, a supra-lateral derma-mammary pedicle of the nipple and areola, and the tumescent anesthesia is a good, reliable and convenient technique.
authors.affiliation: Qilu Hospital, Shandong University, Jinan 250012, China.
authors.forename: Jinglong
authors.initials: J
authors.lastname: Cai
authors.forename: Ling
authors.initials: L
authors.lastname: Ma
authors.forename: Ximei
authors.initials: X
authors.lastname: Gao
authors.forename: Huili
authors.initials: H
authors.lastname: Qian
authors.forename: Bo
authors.initials: B
authors.lastname: Pan
authors.forename: Jingzhong
authors.initials: J
authors.lastname: Sun
mesh_terms: D000293:Adolescent; D000328:Adult; D001940:Breast / Q000601:surgery*; D006177:Gynecomastia / Q000601:surgery*; D006801:Humans; D008297:Male