ADIPOSE TISSUE MEASUREMENT IN GYNECOMASTIA WITH COMPUTERIZED TOMOGRAPHY

Webster, in 1946, described an operation with a semicircular intra-areolar incision (1), which has become the standard operation for excision of gynecomastia. Subsequently, techniques of elliptic skin excision and transposition of nipple on a pedicle were reported in the literature (2, 3). In the late 1970s, Illouz (4) described suction-assisted lipectomy (SAL) and this technique has gained wide acceptance for many conditions (5, 6). Among these, SAL is a very useful technique in gynecomastia in selected cases. However, if the gynecomastic tissue is fibrotic and dense with less adipose tissue; SAL may not be effective. The aim of the present study was to determine the ratio of gynecomastic adipose tissue (GAT) to total gynecomastic tissue (TGT) in order to select the appropriate surgical technique in gynecomastia.