TREATMENT OF ADOLESCENT GYNECOMASTIA USING A BIPEDICLE TECHNIQUE

Many methods have been described for the treatment of gynecomastia. El even adolescent boys have been managed with a bipedicle technique. The se patients were evaluated for nipple-areolar viability, scarring, pat ient satisfaction, and hematoma or seroma formation. The pedicles prov iding blood supply to the nipple-areolar complex are reliable and are derived from the dermis and glandular breast tissue, thus minimizing n ipple-areolar necrosis and hypopigmentation as a complication of the p rocedure. A periareolar incision provides adequate exposure for safe d issection and excision of the breast tissue, and facilitates reduction in the complex if needed. Good to excellent results were reported in all 11 patients at 2 weeks to 13 months of follow-up. There was no evi dence of nipple-areolar necrosis and only one case of postoperative se roma formation. This approach utilizes a safe and reliable method of b reast reduction that is particularly effective in the male adolescent group.