Infra-areolar subcutaneous mastectomy in the surgical treatment of adolescent gynecomastia
Topic overview
This retrospective study of 21 adolescent boys demonstrates that infra-areolar subcutaneous mastectomy via semilunar incision provides excellent cosmetic outcomes for pubertal gynecomastia with minimal complications. The technique capitalizes on good skin elasticity in adolescents, yielding nearly invisible scarring and natural chest contour, addressing both physical and psychological concerns in this patient population.
Key takeaways
- Only 5-10% of pubertal gynecomastia cases require surgical intervention; most resolve spontaneously.
- Infra-areolar subcutaneous mastectomy via semilunar incision provides excellent cosmetic outcomes with minimal visible scarring.
- Technique works best in normal-weight adolescents with good skin elasticity; 76% of patients were normal BMI in this series.
- Seroma is the most common early complication (9.5% in this series); long-term outcomes are excellent without recurrence.
- Pre-operative workup should include hormonal evaluation to exclude hypogonadism and chromosomal anomalies as underlying causes.
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How to cite: GlobalCastMD. Infra-areolar subcutaneous mastectomy in the surgical treatment of adolescent gynecomastia. GlobalCastMD Medical Library. 2024-03-27. https://dev.library.globalcastmd.com/article/8391?via_space=staycurrentmd
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