title: Eccentric mastectomy and zigzag periareolar incision for gynecomastia.
abstract: BACKGROUND
  Gynecomastia is enlargement of the male breast caused by gland proliferation. Surgery is performed for symptom relief or for cosmetic reasons. The authors used a modified operative procedure, then evaluated the results and safety.
  
  
  METHODS
  Between 2001 and 2005, 22 men (median age, 26 years; range, 13-63 years) with gynecomastia underwent surgery. The operative procedure included a zigzag periareolar skin incision, eccentric subcutaneous mastectomy, and liposuction, with postoperative compression.
  
  
  RESULTS
  All the patients were satisfied with the results of the surgery, which produced a chest contour resembling a normal male chest rather than simply a smaller breast. The only complication was a hematoma. One patient was found to have breast cancer.
  
  
  CONCLUSIONS
  The normal male chest contour can be restored by the described method of eccentric subcutaneous mastectomy.
authors.affiliation: Department of Plastic Surgery, Mackay Memorial Hospital, 92, Sec.2, Chung-Shan N. Rd., Taipei, Taiwan. lawrencetu@yahoo.com
authors.forename: Lung-Chen
authors.initials: LC
authors.lastname: Tu
authors.forename: Kwang-Yi
authors.initials: KY
authors.lastname: Tung
authors.forename: Heng-Chang
authors.initials: HC
authors.lastname: Chen
authors.forename: Wen-Chen
authors.initials: WC
authors.lastname: Huang
authors.forename: Hung-Tao
authors.initials: HT
authors.lastname: Hsiao
mesh_terms: D000293:Adolescent; D000328:Adult; D006177:Gynecomastia / Q000601:surgery*; D006801:Humans; D008297:Male; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009558:Nipples / Q000601:surgery*; D055815:Young Adult