title: Surgical correction of gynecomastia in thin patients.
abstract: BACKGROUND
  Gynecomastia refers to a benign enlargement of the male breast. This article describes the authors' method of using power-assisted liposuction and gland removal through a subareolar incision for thin patients.
  
  
  METHODS
  Power-assisted liposuction is performed for removal of fatty breast tissue in the chest area to allow skin retraction. The subareolar incision is used to remove glandular tissue from a male subject considered to be within a normal weight range but who has bilateral grade 1 or 2 gynecomastia.
  
  
  RESULTS
  Gynecomastia correction was successfully performed for all the patients. The average volume of aspirated fat breast was 100-200 ml on each side. Each breast had 5-80 g of breast tissue removed. At the 3-month, 6-month, and 1-year follow-up assessments, all the treated patients were satisfied with their aesthetic results.
  
  
  CONCLUSIONS
  Liposuction has the advantages of reducing the fat tissue where necessary to allow skin retraction and of reducing the traces left by surgery. The combination of surgical excision and power-assisted lipoplasty also is a valid choice for the treatment of thin patients.
authors.affiliation: Department of Dermatology and Plastic Reconstructive Surgery, University of Rome, Sapienza, Policlinico Umberto I, Viale del Policlinico, 155, 00161 Rome, Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Cigna
authors.forename: Mauro
authors.initials: M
authors.lastname: Tarallo
authors.forename: Pasquale
authors.initials: P
authors.lastname: Fino
authors.forename: Liliana
authors.initials: L
authors.lastname: De Santo
authors.forename: Nicolò
authors.initials: N
authors.lastname: Scuderi
mesh_terms: D000293:Adolescent; D000328:Adult; D006177:Gynecomastia / Q000601:surgery*; D006801:Humans; D015187:Lipectomy; D008297:Male; D016462:Mammaplasty; D013851:Thinness; D055815:Young Adult