Gynecomastia: an outcome analysis.
BACKGROUND
Gynecomastia refers to the presence of femalelike mammary glands in a male. This disorder can lead to significant psychologic stress and self-consciousness. This study consists of a chart review of 174 patients treated surgically between July 1, 1976, and February 27, 2001.


RESULTS
Operative procedures were excision, excision with suction-assisted lipectomy (SAL), SAL, skin excision (skin) and skin excision with SAL. Overall complication rate was 20%. No significant difference in complication rates was found between grades or procedures. Revision rates between grades were I = 10.3%, II = 14.5% and III = 34.8% (P < 0.001). In grade III, gynecomastia revision rates for excision +/- SAL was 29% and skin +/- SAL was 38.1% (P = 0.644). Of the 8 revisions in the skin-sparing procedures, 6 were revised with a scar-forming procedure. Therefore, 77% of patients with grade III gynecomastia were adequately treated with a skin-sparing procedure.


CONCLUSIONS
Skin-sparing operations should be the initial procedure chosen for most grade III gynecomastia patients.
Division of Plastic and Reconstructive Surgery, SUMMA Health System/Northeast Ohio Universities College of Medicine, Akron, Ohio, USA.
Irvin M
IM
Wiesman
James A
JA
Lehman
Michael G
MG
Parker
M Devi Prasad
MD
Tantri
Douglas S
DS
Wagner
John C
JC
Pedersen
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D006177:Gynecomastia / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome