Gynecomastia surgery

Gynecomastia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Surgery

Device Based Therapy

• Liposuction
• Surgical excision

Indications for Surgery

• Surgery is indicated if patients have no response to medical therapies

Overview

• Surgical intervention is not recommended for the management of [disease name].

OR

• Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
• The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
• The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

• Surgery is the mainstay of treatment for [disease or malignancy].

Surgery

• Surgery is not the first-line treatment option for patients with gynecomastia.
• The aim of surgery is to achieve the normal appearance, with the smallest possible scar.
• The surgical techniques used for gynecomastia depends on the extent of gynecomastia and proportion of different breast components(parenchyma, fat, loose skin).
• Most commonly used surgical technique is subcutaneous mastectomy with or without liposuction.
• Extensive surgery, including skin resection, is done in patients with gynecomastia and excessive sagging of the breast tissue.
• Liposuction alone can be done for pseudo gynecomastia.

Indications

Surgery is usually reserved for patients with either:

• Psychological stresses
• Cosmetic problems
• Failure of medical therapy
• Long standing gynecomastia
• Suspicion of malignancy
• Extensive skin sagging