Open AccessModified technique for correction of gynaecomastia
Author(s) -
Coskun Ali,
Duzgun Sukru A.,
Bozer Mikdat,
Akinci Omer F.,
Uzunkoy Ali
Publication year - 2001
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/11024150152717643
Subject(s) - cosmesis , medicine , surgery , complication , surgical incision
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. Design: Clinical study. Setting: Military and university hospitals, Turkey. Subjects: 32 patients with gynaecomastia operated on between 1992 and 2000. Interventions: 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). Main outcome measures: 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. Conclusion: A modified extended circumareolar incision results in fewer complication and better cosmesis in grade II gynaecomastia than the standard incision. Copyright © 2001 Taylor and Francis Ltd.