Original Article

Gynecomastia Treatment Principles: Evaluation of our Results

  • Seda Asfuroğlu Barutca
  • Necmettin Kutlu
  • İlker Üsçetin
  • Onur Egemen
  • Tolga Aksan
  • Ufuk Askeroğlu

Eur Arc Med Res 2011;27(1):36-43

Gynecomastia is defined as a benign excessive breast development in male which usually has an onset in puberty. Although most cases are idiopathic, surgical treatment is indicated in persistant disease. In this study a retrospective review of 15 patients, classified as grade 2 and 3 by Simon, and operated for gynecomastia from 2006 to 2010 was conducted and the postoperative results were evaluated. The mean age of the patients was 32.4 yrs and the follow up period was 14.9 months. No additional pathology was found except one Klinefelter Syndrome and one hyperprolactinemia patient. Surgical treatment options including gland resection, liposuction and circumareolar excision were individualized according to clinical evaluation, physical examination and ultrasound findings. All patients used compression garments at least for 1 month in the postoperative period. There were five complications in the operation site, including hematoma in one patient, underresection in two patients and dehiscence of periareolar scar in two patients. Over all, procedure satisfaction was measured in 12 patients as “good” and in 3 patients as “poor”.

Keywords: Gynecomastia, gland, simon