Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2004 Aug;53(2):97-101.
doi: 10.1097/01.sap.0000116256.01831.17.

Gynecomastia: an outcome analysis

Irvin M Wiesman  1 , James A Lehman Jr, Michael G Parker, M Devi Prasad Tantri, Douglas S Wagner, John C Pedersen
Affiliations

Gynecomastia: an outcome analysis

Irvin M Wiesman et al. Ann Plast Surg. 2004 Aug.

Abstract

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.

Conclusion: Skin-sparing operations should be the initial procedure chosen for most grade III gynecomastia patients.

PubMed Disclaimer

LinkOut - more resources